Clinical Prior Auth Specialist

Company: TGHCO Health Care Private LimitedLocation: HyderabadAs an Authorization (Auth) and Pre-Authorization (Pre-Auth) Specialist in the US healthcare Revenue Cycle Management (RCM), your role would involve several key responsibilities:Job Description:Review and Assess Requests:Evaluate prior authorization requests for various medical services, procedures,...

Company: TGHCO Health Care Private LimitedLocation: HyderabadAs an Authorization (Auth) and Pre-Authorization (Pre-Auth) Specialist in the US healthcare Revenue Cycle Management (RCM), your role would involve several key responsibilities:Job Description:Review and Assess Requests:Evaluate prior authorization requests for various medical services, procedures,...

Job Description – Associate, Inpatient Prior AuthorizationAssociate – Inpatient Prior AuthorizationDepartment: Revenue Cycle Management / Utilization ManagementReports To: Team Lead – Prior Authorization / Prior Authorization SupervisorJob Level: Associate / Entry to Mid-LevelWork Location: RMZ, Hi-Tech city HyderabadEmployment Type: Full-timePosition...

The Prior Authorization Manager is responsible for overseeing the daily operations of the prior authorization department. This role involves leading a team to ensure all required prior authorizations are obtained accurately and in a timely manner for patient services, medications, and procedures. The manager will develop and implement efficient workflows,...

We're Hiring | Clinical Prior Authorization Executive & QAOpen Roles:Clinical Prior Authorization ExecutiveQuality Analyst (QA) Prior AuthorizationJob Responsibilities:For Clinical Prior Authorization Executive:Review medical records and prior authorization requests.Validate clinical necessity based on payer policies and guidelines.Coordinate with healthcare...

Job Description Associate, Inpatient Prior AuthorizationAssociate Inpatient Prior AuthorizationDepartment: Revenue Cycle Management / Utilization ManagementReports To: Team Lead Prior Authorization / Prior Authorization SupervisorJob Level: Associate / Entry to Mid-LevelWork Location: RMZ, Hi-Tech city HyderabadEmployment Type: Full-timePosition SummaryThe...

This will be a rotational shift job.11 AM to 8 PM, 2 PM to 11 PM, 6.30 PM to 3.30 AM.If interested, pls share CV on As a CDI Specialist, you will review clinical documentation in electronic health records to ensure accuracy, completeness, and compliance with coding standards. You will issue compliant queries to physicians and collaborate with internal teams...

Prior Authorization Specialist (1+ Years Experience)Responsibilities:Review and process prior authorization requests for medical procedures and medications.Verify insurance eligibility and coverage details.Communicate with providers, payers, and patients for required information.Ensure timely and accurate documentation in systems.Follow up on pending...

OverviewVelocity Clinical Research is an owned and integrated research site organization, providing excellence in patient care, high quality data and fully integrated research sites. At Velocity, we align our values and behaviors to give our employees the best chance of delivering on our brand promise: to bring innovative medical treatments to patients. We...

Clinical Informatics Specialist – Rehabilitation Data &Health Standards IntegrationRole OverviewWe are seeking a Clinical Informatics Specialist with strong knowledge of ICD, ICF, and ICHIframeworks and hands-on exposure to rehabilitation assessment and therapy equipment.The candidate will act as a bridge between therapists, clinicians, and software...