MRI and CT Prior Authorization Specialist

6 days ago


Hyderabad, Telangana, India Prove It Catalysts Full time ₹ 9,00,000 - ₹ 12,00,000 per year

*** 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 necessary documentation. The ideal candidate will be detail-oriented, communicative, and experienced in the U.S. healthcare and insurance systems.

Key Responsibilities:

  • Obtain prior authorizations for MRI and CT imaging procedures from insurance providers.
  • Contact physicians and healthcare providers to request scripts, medical records, and supporting documentation for authorization submissions.
  • Submit accurate and timely prior authorization requests, following payer-specific guidelines.
  • Follow up with insurance companies to resolve denials, appeals, or additional information requests.
  • Collaborate with radiology teams and billing departments to ensure proper coding (e.g., CPT/ICD-10).
  • Maintain detailed records of authorization statuses in electronic health record (EHR) systems.
  • Keep physicians and staff informed of authorization progress and requirements.
  • Stay current on insurance policies, radiology procedures, and compliance standards (e.g., HIPAA).
  • Provide exceptional support to patients regarding authorization inquiries.

Qualifications:

  • High school diploma or equivalent required; degree in healthcare administration or related field preferred.
  • Minimum of 2 years of experience in prior authorization or radiology services.
  • Strong understanding of MRI and CT procedures and medical terminology.
  • Proven ability to communicate effectively with physicians and insurance representatives.
  • Familiarity with U.S. insurance processes (e.g., Medicare, Medicaid, private insurers).
  • Proficiency in EHR/EMR systems and Microsoft Office Suite.
  • Excellent organizational skills and the ability to manage multiple priorities.

Preferred Skills:

  • Certification in medical billing/coding (e.g., CPC, CPB) is a plus.
  • Experience with radiology-specific software (e.g., RIS, PACS) is advantageous.


  • Hyderabad, Telangana, India Primera Medical Technologies Full time ₹ 20,00,000 - ₹ 25,00,000 per year

    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,...


  • 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...


  • Hyderabad, Telangana, India TalentQ Solutions Full time

    Job DescriptionDescriptionThe Trainer and Lead Delivery-Clinical Prior Authorization will be responsible for training staff on clinical prior authorization processes and ensuring that all training programs are effectively delivered. This role requires a strong understanding of healthcare regulations, excellent communication skills, and the ability to develop...


  • Hyderabad, Telangana, India Kria Infotech Full time ₹ 4,00,000 - ₹ 8,00,000 per year

    Job descriptionEXPERIENCE IN INTERVENTIONAL PAIN MANAGEMENT AND ORTHOPEDICS IS PREFERABLEPosition 1: Prior Authorization Executive- Voice Process.Verifies insurance eligibility and benefit levels to ensure adequate coverage for identified services prior to receipt, patients cost estimation calculation.Review and process pre-authorization requests for medical...


  • Hyderabad, Telangana, India Amazon Full time ₹ 5,00,000 - ₹ 15,00,000 per year

    DESCRIPTIONNetwork Flow Control Tower:At Amazon we believe that every day is still day one. A day to take the first step and a day to look forward to new challenges. And today is that day for you. It's your day to be part of something great. A day to make your ideas come to life and your day to join a company that redefines itself every day. That's the...


  • Hyderabad, Telangana, India Amazon Full time ₹ 5,00,000 - ₹ 15,00,000 per year

    Network Flow Control Tower:At Amazon we believe that every day is still day one. A day to take the first step and a day to look forward to new challenges. And today is that day for you. It's your day to be part of something great. A day to make your ideas come to life and your day to join a company that redefines itself every day. That's the energy and...


  • Hyderabad, Telangana, India Axis Services Full time ₹ 4,00,000 - ₹ 5,75,000 per year

    Were Hiring Healthcare RCM RolesLocation: Hyderabad1. AR Caller (Physician & Hospital Billing)Minimum 1 Year Experience in AR CallingSalary: Up to 40,000 Take-Home2. Prior AuthorizationMinimum 1 Year ExperienceSalary: Up to 5.75 LPA3. Rejections ProcessMinimum 1 Year Experience in RejectionsDay Shift | Location: HyderabadSalary: Up to 5.5 LPAAdditional...


  • 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 HealthcareRole & Responsibilities:Processes prior authorizations and referral requests promptly, ensuring they are completed before patient services commence.Researches patient member benefits,...

  • Neurosurgeon

    3 days ago


    Hyderabad, Telangana, India DISHHA STAFFING SERVICES PVT LTD Full time ₹ 5,00,00,000 - ₹ 15,00,00,000 per year

    Position: NeurosurgeryExperience: 10+ Years Location: HyderabadAbout the Role:We are seeking a highly skilled and accomplished Neurosurgeon with over 10 years of experience to join our world-class medical team. The incumbent will provide advanced surgical and non-surgical management of complex neurological conditions, upholding the hospitals commitment to...


  • Hyderabad, Telangana, India Talentq Solutions Full time ₹ 6,00,000 - ₹ 12,00,000 per year

    Job DescriptionWe are looking for a Training Manager Clinic Prior Authorization to lead and manage training initiatives for staff involved in insurance pre-authorization processes. The role includes designing curriculum, delivering training sessions, ensuring compliance with payer requirements, and monitoring performance. The ideal candidate should have...