Prior Authorization

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,...

Responsibilities:* Verify patient eligibility and benefits* Ensure compliance with regulatory requirements* Coordinate with healthcare providers and insurers* Manage prior authorization process from start to finishProvident fund

*** Looking for IMMEDIATE JOINER ***Job Description:We are seeking a dedicated MRI and CT Prior Authorization Specialist to join our Radiology Services team. This role is critical in ensuring prior authorizations for MRI and CT scans are obtained efficiently while maintaining close communication with physicians to secure scripts, medical records, and...

We're Hiring – Pre Authorization| US Healthcare (Provider Side) Location: Hyderabad (Work from Office) Shift: Night Shift (2-way cab provided) Salary: Up to 5.5 LPACompletely in Voice Process Notice Period: ImmediateExperience Required: 1–3 Years RCM / Denial ManagementInterview Process: Online Assessment → F2F Manager Round If interested, share your...

Role & responsibilitiesPrior Authorization ManagementInitiate and submit prior authorization requests for medical services, diagnostic procedures, and medications.Review and interpret payer guidelines to ensure proper documentation is provided.Track and monitor status of submitted authorizations and follow up with insurance payers as needed.Preferred...

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...

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...

Hello,Greetings from Eclat Health We are hiring for Team lead Ops - Hospital Billing Prior - AuthorizationJob DescriptionWe are looking for an experienced Team Lead Hospital Billing Inpatient Prior Authorization to lead our growing Pre-Authorization (RCM) team. The ideal candidate will oversee inpatient authorization processes, guide team performance, and...

Role DescriptionThis is a full-time, on-site role for an Oncology Authorizations Specialist, based in Hyderabad. The Specialist will be responsible for securing prior authorizations for oncology services, liaising between healthcare providers and insurance companies, and ensuring compliance with organizational and payer guidelines. Tasks also include patient...

New Opening | Clinical Prior Authorization Executive HyderabadEligibility: Minimum 1 Year Experience in Clinical Prior Authorization (Clinical Review Process is Mandatory)Package: Up to 40,000 Take-HomeLocation: Hyderabad GachibowliQualification: Any Life Science BackgroundShift Timings: Night Shift (6:30 PM – 3:30 AM)Transport: 2-Way Cab Facility (Up to...