Hiring For Eligibility, Authorizations& Referrals

2 weeks ago

Hyderabad, Telangana, India Intellisight Full time ₹ 9,00,000 - ₹ 12,00,000 per year

Job opening at Intellisight India Pvt. Ltd in the field of Eligibility, Authorizations & Referrals (US Healthcare)

Role: Eligibility, Authorizations & Referrals in US Healthcare

Role & Responsibilities:

  • Processes prior authorizations and referral requests promptly, ensuring they are completed before patient services commence.
  • Researches patient member benefits, coverage limitations, and allowances to secure necessary authorizations and referrals for patient services.
  • Receives and manages referral requests from providers and health plans related to patient visits and procedures.
  • Verifies member eligibility and benefits using health plan provider portals or eligibility services, accurately entering information into the EMR system for authorization tracking.
  • Educates patients on coverage details and any necessary insurance carrier contacts for additional services.
  • Coordinates with providers, physicians, and medical personnel to gather required documentation and codes for authorizations and referrals.
  • Communicates authorization details and coverage information promptly to relevant department staff.

Preferred Candidate Profile:

  • Experience: Minimum 1 to 3 years in Eligibility, Authorizations & Referrals in US Healthcare.
  • Education: Any Graduate.

Perks and Benefits:

  • Monthly incentives, annual appraisals.
  • Saturday/Sunday weekends off.
  • Quarterly rewards.

Application Details:

  • Interested candidates can apply by emailing their resume to or by WhatsApp at

This position appears to be focused on managing the authorization and referral processes efficiently within the US healthcare system, requiring experience and knowledge in handling insurance coverage, patient benefits verification, and effective communication with both patients and healthcare providers

  • Eligibility Verification

    3 days ago

    Hyderabad, Telangana, India H M Healthcare Solution Full time ₹ 40,00,000 - ₹ 80,00,000 per year

    Payment Posting Role & responsibilities:Post insurance and patient payments (manual and electronic) accurately into the billing system.Ensure payments are applied to the correct patient accounts, dates of service, and CPT codes.Enter EOBs (Explanation of Benefits) and ERAs (Electronic Remittance Advices) promptly and correctly.Identify denied or partially...

  • Executive/SR Executive/QCA-Prior Authorization

    2 weeks ago

    Hyderabad, Telangana, India Omega Healthcare Full time ₹ 2,00,000 - ₹ 6,00,000 per year

    Location Hyderabad & work from office onlyJob highlightsMinimum 1+ years' experience in Pre-Authorization and good understanding of medical terminologyObtain prior authorizations and referrals from insurance companies, monitor and update orders, provide clinical information for authorizationsJob description**Please Ignore if you have experience into NON...

  • Referral Partner

    3 days ago

    Hyderabad, Telangana, India qualityexcellence Full time ₹ 30,000 - ₹ 3,00,000 per year

    Company DescriptionQuality Excellence, established in 2010, is a company that provides a range of professional programming services including website development, .NET and PHP programming, mobile programming, and Flash and Flex development. The company has a consistent growth rate of adding 20% new clients and employees annually, and 80% of their business...

  • Prior Authorization Executive

    6 days ago

    Hyderabad, Telangana, India JSD Medical Business Management Services Full time ₹ 4,00,000 - ₹ 12,00,000 per year

    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

  • Prior Authorization

    3 days ago

    Hyderabad, Telangana, India INTIGNIZ Solutions Pvt. Ltd. Full time ₹ 5,50,000 per year

    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...

  • is Hiring For SR. Prior Authorization Role

    1 day ago

    Hyderabad, Telangana, India Sutherland Full time ₹ 6,00,000 - ₹ 15,00,000 per year

    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...

  • Hiring Home Health Medical Coders

    1 week ago

    Hyderabad, Telangana, India Axis Services Full time ₹ 6,00,000 - ₹ 12,00,000 per year

    Role & responsibilitiesHiring Home Health Medical Coders || Certified Experienced Medical Coders ||Specialization : HHC coders & QALocation : HyderabadEligibility Criteria :Experience:Min 1+ year for Coder (First 6 months will be Work form Office)Min 5 years for QA (Work from Home)Package:Up to 60K for CodersUpto 1L for QAPrefers Immediate joiner onlyAny one...

  • Hiring Home Health Medical Coders

    2 weeks ago

    Hyderabad, Telangana, India Axis Services Full time ₹ 48,000 - ₹ 1,20,000 per year

    Hiring Home Health Medical Coders & QA || Hyderabad || upto 60k - 1LEligibility Criteria:Specialization : HHC coders & QAExperience:• Minimum 1+ year for Home Health Coders (First 6 months Work from Office)• Minimum 5 years for QA (Work from Home)Certification: Certified & Non-Certified Coders both eligibleRelieving Letter: At least one company relieving...

  • Manager, SAP Authorization Analyst

    1 week ago

    Hyderabad, Telangana, India MSD Full time ₹ 12,00,000 - ₹ 36,00,000 per year

    Job DescriptionBased in Hyderabad, join a global healthcare biopharma company and be part of a 130-year legacy of success backed by ethical integrity, forward momentum, and an inspiring mission to achieve new milestones in global healthcare.Be part of an organization driven by digital technology and data-backed approaches that supports a diversified...

  • Hiring For HHC coders and QA|| Home Health|| Certified

    2 weeks ago

    Hyderabad, Telangana, India Axis Services Full time ₹ 60,000 - ₹ 10,00,000 per year

    Hiring Home Health Medical Coders || Experienced Medical coders||Specialization : HHC coders & QALocation : HyderabadEligibility Criteria :Experience:Min 1+ year for Coder (First 6 months will be Work form Office)Min 5 years for QA (Work from Home)Package:Up to 60K for CodersUpto 1L for QAPrefers Immediate joiner onlyAny one company relieving letter is...