Auth Specialist for US Healthcare

2 days ago

Hyderabad, Telangana, India Good Health Company Full time ₹ 9,00,000 - ₹ 12,00,000 per year

Company: TGHCO Health Care Private Limited

Location: Hyderabad

As 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, and medications.

Ensure that all necessary clinical documentation is provided to support the medical necessity of the requested services.

Verify Insurance Benefits:

Confirm patient insurance benefits and eligibility through comprehensive intake processes.

Communicate with insurance companies to verify coverage and obtain necessary authorizations.

Documentation and Record Keeping:

Maintain accurate records of all prior authorization requests, including approvals and denials.

Document all interactions and decisions in the electronic health record (EHR) system.

Communication:

Liaise with healthcare providers, insurance companies, and patients to gather and confirm required information.

Provide clear and concise information to patients regarding their authorization status and any potential barriers to care.

Stay Updated:

Keep abreast of changes in insurance policies, regulatory requirements, and procedural guidelines specific to healthcare.

Ensure compliance with all relevant laws and regulations.

Training and Mentoring:

Assist in training and mentoring new staff members regarding the prior authorization process and best practices.

Skills Required:

Attention to Detail: Exceptional ability to scrutinize documentation and ensure accuracy in records.

Communication Skills: Strong verbal and written communication for effective collaboration with healthcare professionals and insurance representatives.

Analytical Skills: Proficient in evaluating medical necessity and substantiating requests based on clinical criteria.

Organizational Skills: Ability to manage multiple requests simultaneously while adhering to strict deadlines.

Problem-Solving Skills: Skilled at navigating complex issues to secure necessary authorizations.

Technical Proficiency: Familiar with electronic health records (EHR) and medical billing software

Qualifications:

Education: Any degree with additional training or certification in medical billing and coding, if possible.

Experience: Prior experience in a medical business office or healthcare setting involving customer service or patient-facing responsibilities is preferred

This role is crucial in ensuring that patients receive timely and necessary medical care while navigating the complexities of insurance and authorization processes. If you have any specific questions or need further details, feel free to ask

  • Auth Specialist for US Healthcare

    3 weeks ago

    Hyderabad, Telangana, India, Telangana Good Health Company Full time

    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,...

  • US Healthcare

    1 week ago

    Hyderabad, Telangana, India Wsne Consulting Full time ₹ 6,00,000 per year

    Hiring for US Healthcare RCMAR Follow up Physician billing & Hospital billingUG/Grad with 1yr in AR Follow UP RCM Exp. required.Loc- HyderabadSalary upto 5 LPA Facilities-5days workingFixed night shiftboth side cabSat-Sun fixed off

  • Sr Associate, Healthcare IT Integration Analyst

    2 days ago

    Hyderabad, Telangana, India RSM US LLP Full time ₹ 4,00,000 - ₹ 8,00,000 per year

    We are the leading provider of professional services to the middle market globally, our purpose is to instill confidence in a world of change, empowering our clients and people to realize their full potential. Our exceptional people are the key to our unrivaled, inclusive culture and talent experience and our ability to be compelling to our clients. You'll...

  • Healthcare Recruiter US Staffing

    6 days ago

    Hyderabad, Telangana, India Freelancer Bhushan Babbar Full time ₹ 9,00,000 - ₹ 12,00,000 per year

    Job Title: Healthcare Recruiter US StaffingLocation: Hyderabad, IndiaEmployment Type: Full-time (Night Shift aligned to US time zones)About the RoleWe are seeking an energetic Healthcare Recruiter – US Staffing to join our team in Hyderabad. The recruiter will be responsible for sourcing, screening, and qualifying healthcare professionals for our US-based...

  • US Healthcare Recruiter

    4 days ago

    Hyderabad, Telangana, India W3Global Full time ₹ 12,00,000 - ₹ 36,00,000 per year

    Job Role - Recruiter/ Senior Recruiter (US Healthcare Staffing)Work Location - 6th Floor, Ashoka Raghupathi Chambers, Chikoti Garden Rd, beside Prakash Nagar, Old Patigadda, Chikoti Gardens, Metro, Hyderabad, Telangana 500016Shift Timings - 7:30 PM - 4:30 AM IST (Work from office only)Experience Required - Minimum 3+ years of experience in US StaffingRoles &...

  • International Voice Process- US Healthcare

    1 week ago

    Hyderabad, Telangana, India Arya Medical Billing Services Full time ₹ 2,00,000 - ₹ 6,00,000 per year

    ** We're Hiring at Arya Medical Billing Services****Position:** Process Associate US Healthcare (International Voice Process) **Location:** Work from Office – Gachibowli, Hyderabad **Shift:** Night Shift (5:30 PM to 2:30 AM IST) **Working Days:** Monday to Friday (5 days working) **Job Type:** Full-Time**About the Role:**Arya Medical Billing Services is...

  • Healthcare Recruiter

    10 hours ago

    Hyderabad, Telangana, India Fortune Careers Limited Full time US$ 1,04,000 - US$ 1,56,000 per year

    Freelance Senior Healthcare Recruiter U.S. Staffing (Remote Based in India)We are seeking an experienced and results-driven Freelance Senior Healthcare Recruiter to support our U.S. healthcare staffing initiatives. This is a 100% remote and commission-based opportunity designed for highly motivated recruiters with strong networks and expertise in U.S....

  • Full Desk Recruiter/ Business Development Manager – US Healthcare Staffing

    20 hours ago

    Hyderabad, Telangana, India W3Global Full time ₹ 6,00,000 - ₹ 9,00,000 per year

    Work Location:HyderabadSalary Range:Up to 9 LPA (Negotiable based on relevant experience) + Performance IncentivesWork Timings:7:30 PM IST - 4:30 AM ISTAbout The RoleWe are looking for a motivated and experienced Full Desk Recruiter/ BDM to join our US Healthcare Recruitment team. This role involves managing the end-to-end recruitment life cycle, focusing...

  • Sourcing Specialist

    2 days ago

    Hyderabad, Telangana, India Talent Corner Hr Services Full time ₹ 6,00,000 - ₹ 12,00,000 per year

    We're hiring a Sourcing Specialist in Hyderabad to source and engage doctors and healthcare professionals. Build pipelines, network with hospitals and colleges, and support recruitment needs. Must meet sourcing targets and track market trends. Required Candidate profileHiring a recruiter with 2–5 yrs in healthcare hiring. Must excel in sourcing &...

  • US Immigration Specialist

    19 hours ago

    Hyderabad, Telangana, India Tekgence Inc Full time ₹ 5,00,000 - ₹ 15,00,000 per year

    Hi,We are looking for energetic and talentedUS Immigration Specialistwith excellent written and oral communication skills.Candidates should have 1+years of strong experience inUS Immigration Specialist.Hands-on experience in handling various types of Visa filings, including initial, amendment, transfer, and extension petitions.Proficient in using HRMS/ATS...