Pre-Auth Associates

1 day ago

Hyderabad, Telangana, India Eclat Health Solutions Full time ₹ 1,20,000 - ₹ 1,80,000 per year

Job Description – Associate, Inpatient Prior Authorization

Associate – Inpatient Prior Authorization

Department: Revenue Cycle Management / Utilization Management

Reports To: Team Lead – Prior Authorization / Prior Authorization Supervisor

Job Level: Associate / Entry to Mid-Level

Work Location: RMZ, Hi-Tech city Hyderabad

Employment Type: Full-time

Position Summary

The Associate – Inpatient Prior Authorization is responsible for verifying insurance coverage, initiating, obtaining, and tracking inpatient authorizations for hospital admissions, continued stays, and post-acute transitions. The associate ensures that all required authorizations are secured before or during a patient's hospital stay, in compliance with payer policies, to prevent claim denials and delays in reimbursement.

Key Responsibilities

Review inpatient admissions and identify cases requiring prior authorization based on payer rules and plan benefits.

Initiate inpatient authorization requests through payer portals (e.g., Availity, NaviNet, Optum, UHC Link, etc.) or via phone/fax.

Submit medical documentation (H&P, clinical notes, diagnostic reports) to support medical necessity review.

Obtain initial admission approvals and ensure concurrent/continued stay authorizations are updated before expiration.

Verify authorization details (auth number, date span, approved services) and record accurately in EMR (EPIC, Cerner, Meditech, etc.).

Communicate with payer representatives to follow up on pending authorization requests.

Coordinate with Utilization Review Nurses and Case Managers to gather clinical updates for concurrent reviews.

Maintain logs for pending, approved, denied, and appealed authorization requests.

Assist the denials management team by providing authorization information for appeals.

  • Pre Sales Associate

    7 days ago

    Hyderabad, Telangana, India upGrad Study Abroad Full time ₹ 2,00,000 - ₹ 6,00,000 per year

    Job Overview :We are seeking a passionate Study Abroad Counsellor to assist students in pursuing their Study Abroad goals, with a focus on Global education market opportunities. You'll guide students through the application process, Offer Expert advice on Universities, Courses, Visa and Scholarships, and support them throughout their Journey.Responsibilities...

  • Associate - Payment Posting - PP-A-2509-001

    2 weeks ago

    Hyderabad, Telangana, India Newport Medical Solutions Full time ₹ 6,00,000 - ₹ 8,00,000 per year

    Job Title: Associate Payment PostingYears of Experience: 1–2 yearsLocation: Hyderabad, TelanganaMode of interview: In-person.Mode of operation: Work from officeShift Timings: 9:00 a.m.–6:00 p.mJob DescriptionFunctional Expertise:Should be able to post ERAs and Manual posting, patient-cash, check payments.Should have strong understanding of medical...

  • Sales Associate

    2 weeks ago

    Hyderabad, Telangana, India 7SYSTEMS Full time

    Company Description7SYSTEMS is a leading engineering company headquartered in Hyderabad, Telangana, India, specializing in pre-engineered buildings and turnkey solutions. Incorporated in 2021, we serve both private and government sectors, focusing on customer-centric approaches to realize our clients' visions. With over 2 years of experience and ultramodern...

  • Senior Associate

    2 weeks ago

    Hyderabad, Telangana, India Newport Medical Solutions Full time ₹ 9,00,000 - ₹ 12,00,000 per year

    Job Title: Associate Payment PostingYears of Experience: 2-3 yearsLocation: Hyderabad, TelanganaMode of interview: In-person.Mode of operation: Work from officeShift Timings: 9:00 a.m.–6:00 p.mJob DescriptionFunctional Expertise:Should be able to post ERAs and Manual posting, patient-cash, check and CC payments.Should have strong understanding of medical...

  • Prior Authorization Senior Associate/QA/Teal Leader

    1 day ago

    Hyderabad, Telangana, India Eclat Health Solutions Full time ₹ 2,50,000 - ₹ 7,50,000 per year

    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...

  • Business Development Associate

    5 days ago

    Hyderabad, Telangana, India Maddisoft Solutions Full time US$ 1,04,000 - US$ 1,30,878 per year

    Job Title: Business Development AssociateLocation: Hyderabad (Onsite), IndiaJob Description & Responsibilities:We are seeking a dynamic and detail-oriented Pre-Sales Associate to join our team, working on exciting US-based projects. The ideal candidate will be responsible for supporting the sales team through the RFP submission process for US Government...

  • Genzeon - Associate Software Engineer- Full Stack Technologies

    5 days ago

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

    Note : If shortlisted, you will be invited for initial rounds on 8th November'25 (Saturday) in Hyderabad Description : - 1 to 3 years of experience (internships, projects, or prior full-time work) About the Role : Were hiring an Associate Software Engineer to learn, build, and ship features across the stack with mentorship. Youll work...

  • Associate Director

    5 days ago

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

    About the RoleWe are seeking an accomplished Associate Director or Director to lead our healthcare delivery portfolio with deep domain expertise and technical acumen. This strategic leadership role requires a unique blend of hands-on technical background, healthcare domain mastery, and client-facing delivery excellence. The ideal candidate will be a champion...

  • SAP PI/PO Consultant

    4 weeks ago

    Hyderabad, Telangana, India, Telangana Tata Consultancy Services Full time

    Skill: SAP PI/PO ConsultantLocation: Bangalore/Hyderabad/ChennaiExperience Range : 6 to 10 yearsMust Have Skills: Strong hands-on in SAP PI/PO AEX: design and configuration in ESR/Integration Directory, ICOs, channels, adapter modules, runtime workbench/PI monitoring (message monitor, channel monitor), and end-to-end troubleshooting. Expertise in interfaces...

  • Trainee Associate

    3 days ago

    Hyderabad, Telangana, India FMS Solutions Full time ₹ 2,00,000 - ₹ 6,00,000 per year

    Position:TRAINEE Associate _ US Payroll (Internship for 90 days)Duration : 90 Days ( 20th October th January 2025 )Reporting Relationship: Reports to Assistant Accounting ManagerResponsibilitiesShould have knowledge on employee w4 in payroll systems; process all paper W2 & paystubs requests.Knowledge on pre-payroll reports and audit time block...