Prior Authorization Analyst

2 weeks ago


Mohali, Punjab, India Nath Outsourcing Solutions Pvt. Ltd. Full time ₹ 2,00,000 - ₹ 6,00,000 per year

Job Title:
Prior Authorization Analyst

Location:
Mohali, Punjab

Experience Required:
Minimum 1+ year (Physician Side – US Healthcare)

Job Description:

We are seeking a skilled
Prior Authorization Analyst
with hands-on experience in
Physician-side Prior Authorization
. The role involves managing authorization requests, handling denials, and ensuring smooth communication with payers and providers.

Key Responsibilities:

  • Process
    Prior Authorization requests
    for physician services efficiently and accurately.
  • Manage
    denials, appeals, and resubmissions
    for timely resolution.
  • Conduct
    calls with insurance companies
    to check authorization status and requirements.
  • Work with different insurance plan types (
    HMO, PPO, EPO, POS
    ).
  • Coordinate with physicians, providers, and insurance representatives.
  • Document and track authorization requests, approvals, and denials.
  • Ensure compliance with payer guidelines and healthcare regulations.

Required Skills & Experience:

  • Minimum
    1+ year experience
    in
    Physician-side Prior Authorization
    .
  • Strong understanding of
    prior auth denials and resolution
    process.
  • Good communication skills for
    calling and follow-ups
    with payers.
  • Knowledge of insurance plan types (
    HMO, PPO, EPO, POS
    ).
  • Detail-oriented with the ability to work in a fast-paced environment.
  • Familiarity with healthcare billing software will be an added advantage.

Benefits:

  • PF/ESIC
  • Cab/Meal Facility
  • GMI
  • 5 Days Working


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