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...

Who we are?Shanghai United Imaging Healthcare Co., Ltd. is dedicated to providing, developing and producing high-performance advanced medical imaging, radiotherapy equipment, life science instruments and offers intelligent digital solutions to customers worldwide. UIH is committed to creating more value for our customers and constantly improving the global...

Role & responsibilitiesPrioritization and Prior Approval: Responsible for evaluating the patient's condition, determining the medical necessity, and submitting the necessary documentation to the insurance company for approval ensuring that the proposed treatment or service is covered by the insurance policy before it is performed.Medical Necessity...

Job DescriptionMinimum 2 years of experience in medical transcription and scribing is required.We are looking for a Clinical Documentation Specialist. The ideal candidate will be responsible for creating accurate medical transcription documents from audio recordings, interpreting medical jargon, ensuring documentation quality, and supporting healthcare...