51 Prior Authorization Jobs

Hiring: AR Caller (Denial Management) Location : Pune CTC : Up to 5.5 LPA Shift : US Shift (Night) | 5 Days Working | 2 Days Rotational Off Notice Period : Immediate to 30 Days About the Role We are looking for experienced AR Calling professionals (Provider Side) to join our growing US Healthcare RCM team. Eligibility: Experience: Minimum 1 year in AR Calling (Provider Side) Qualification: Any Key Skills: Revenue Cycle Management (RCM) Denial Management & Resolution AR Follow-up / Collections Physician / Provider Billing Prior Authorization HIPAA Compliance How to Apply? Contact: Sanjana 9251688426

Hiring: AR Caller (Denial Management) Location : Pune CTC : Up to 5.5 LPA Shift : US Shift (Night) | 5 Days Working | 2 Days Rotational Off Notice Period : Immediate to 30 Days About the Role We are looking for experienced AR Calling professionals (Provider Side) to join our growing US Healthcare RCM team. Eligibility: Experience: Minimum 1 year in AR Calling (Provider Side) Qualification: Any Key Skills: Revenue Cycle Management (RCM) Denial Management & Resolution AR Follow-up / Collections Physician / Provider Billing Prior Authorization HIPAA Compliance How to Apply? Contact: Sanjana 9251688426

Must have worked for US Healthcare EV/BV & Pre Auth Location - Navi Mumbai (Airoli) & HYD (Uppal) Shift - 5.30pm to 2.30am 5 Days working (Sat & Sun fixed OFF)

Roles and Responsibilities Obtain prior authorizations from payers according to established guidelines. Follow up on outstanding prior authorizations until approvals are received. Ensure accurate coding of authorization requests and maintain records accordingly. Collaborate with healthcare providers to resolve billing discrepancies related to prior authorizations. Desired Candidate Profile 1-5 years of experience in Prior Authorization, US Healthcare, RCM (Revenue Cycle Management), or similar roles. Strong understanding of authorization processes and regulations. Excellent communication skills for effective collaboration with healthcare providers and payers. Ability to work independently with minimal supervision while meeting productivity targets. Interested candidates can share their resumes on Manish.singh2@pacificbpo.com or call on 9311316017 (HR Manish Singh) .

Job Title: Medical EV & Authorization Executive Department: Healthcare RCM (Revenue Cycle Management) Location: Makarba, Ahmedabad Employment Type: Full-Time (Work from Office) Shift Timing: Night Shift (6:30 PM 3:30 AM) Experience Required: 6 months to 3 years in Medical Eligibility Verification & Authorization Job Summary: We are seeking a detail-oriented and experienced Medical EV & Authorization Executive to join our growing healthcare team. The ideal candidate will be responsible for verifying patients' insurance eligibility and obtaining prior authorizations for medical procedures and services. This role is crucial in ensuring smooth claims processing and reducing insurance denials. Key Responsibilities: Eligibility Verification (EV): Verify patients' insurance coverage via online portals or by contacting payers. Confirm plan details including active status, co-pay, deductible, co-insurance, and coverage limits. Document all eligibility verification findings accurately in the internal system. Prior Authorization: Obtain prior authorizations for medical procedures, tests, or medications by coordinating with insurance companies. Submit required documents in a timely manner for approval. Follow up regularly with payers to ensure authorizations are received without delay. Coordination and Communication: Collaborate with healthcare providers and clients to gather any missing information. Maintain clear and timely communication with team members. Escalate issues promptly to ensure workflow efficiency. Compliance and Documentation: Ensure compliance with HIPAA regulations and company policies. Maintain accurate records of all interactions and communications with insurance payers. Required Skills & Qualifications: 6 months to 3 years of experience in Medical Eligibility Verification and Prior Authorization (US healthcare process). Strong verbal and written communication skills in English. Proficiency in navigating insurance portals and healthcare software systems. Basic knowledge of medical terminology and US insurance plans (PPO, HMO, Medicaid, Medicare, etc.). Ability to multitask, stay organized, and meet deadlines. Benefits: 5-day working week Free meal facility Supportive and collaborative work culture Career growth opportunities

Greetings from Savista!!! We are hiring AR caller - Experienced. Roles & Responsibilities: Should handle US healthcare providers Accounts Receivable. Calling the insurance carrier and document the action take in claim. Understanding the client requirements and specifications of the project. Ensure to meet the daily/monthly norms. Analyze the rejected/denied claims and understand the reason of t rejection/denial and reprocess the same for payment. Sound knowledge about medical billing procedures and in-depth understanding of verifying patient information with the concerned insurance provider Assist in resolution of outstanding issues from previous transactions. Ensure that deliverable to the client is adhered to the quality standards, productivity and turnaround time. Complete assigned work functions utilizing appropriate resources. Required Candidate profile: Graduates in Arts & Science Minimum 1 to 2 years of experience in AR calling, Eligibility Verification & Prior Authorization. Detail-oriented and Possess exceptional analytical skills Good knowledge of entire Revenue cycle management Should have worked on multiple Insurance / medical billing software Good communication skills(Both Verbal & written) Willing to do WFO Looking for Immediate Joiners. Interested Candidates can drop resume to mail - ta.chennai@savistarcm.com (Or)reach us for a telephonic interview at 8448999198. Regards, TA- Team

Role & responsibilities A Prior Authorization Specialist or Coordinator role involves securing pre-approval from insurance companies for medical treatments and procedures . This includes verifying patient eligibility, gathering necessary information, submitting requests, and following up to ensure timely approvals. They act as a liaison between patients, healthcare Preferred candidate profile

o Leadership & Team Management: o Supervise and guide a team of RCM specialists to ensure smooth workflow and operational efficiency. o Set performance benchmarks, monitor key metrics, and provide coaching and training to enhance team productivity. o Conduct regular team meetings to address challenges, discuss process improvements, and ensure adherence to policies. Revenue Cycle Operations & Optimization: o Oversee claim submissions, payment posting, denial management, and accounts receivable follow-ups. o Ensure timely resolution of claim denials and rejections to maximize reimbursement. o Implement best practices to enhance revenue collection and minimize outstanding balances. o Collaborate with coding and billing teams to ensure accurate claim submissions. Denial Management & Accounts Receivable (AR) Resolution: o Identify and analyse claim denial trends, working with internal teams to reduce future occurrences. o Develop and implement effective appeal strategies for denied claims. o Monitor aging reports and work on strategies to reduce AR days and improve cash flow. Compliance & Regulatory Adherence: o Ensure compliance with healthcare regulations, payer policies, and industry standards (HIPAA, Medicare, Medicaid, etc.). o Stay updated on changes in reimbursement policies, coding updates, and regulatory requirements. o Implement internal audit processes to maintain billing accuracy and compliance. Experience: Minimum 2+ years required in RCM Team lead Location: Pune Salary depends on the Interview HR Chanchal: 9251688424

Roles and Responsibilities Obtain prior authorizations from payers according to established guidelines. Follow up on outstanding prior authorizations until approvals are received. Ensure accurate coding of authorization requests and maintain records accordingly. Collaborate with healthcare providers to resolve billing discrepancies related to prior authorizations. Desired Candidate Profile 1-5 years of experience in Prior Authorization, US Healthcare, RCM (Revenue Cycle Management), or similar roles. Strong understanding of authorization processes and regulations. Excellent communication skills for effective collaboration with healthcare providers and payers. Ability to work independently with minimal supervision while meeting productivity targets.

Hi Hope you are doing good We have an immediate requirement Product Owner Position : Contract Location: Remote Job Description: Experience: 15+ Years Must haves: US Healthcare Claims Adjudication, Prior Authorization, Payer systems FHIR, HL7 implementation exposure and expert in various resources in FHIR Be able to understand and write the CMS regulatory requirements on interoperability Be able to come up with functional solution on interoperability (FHIR) Be able to write epics, stories from the requirements Please mention the below details Name Total Experience Experience in US Healthcare Experience in Claims Adjudication Experience in FHIR Experience in HL7 Experience in Prior Authorization Experience in Payer systems Current CTC Expected CTC Joining Time Interested in Contract (Yes / No): Yes Do you have any offers or interviews in hand. If Yes, please specify Current Location Preferred Location Reason for Change Linkedin Any offers Educational qualification If you are interested, Please revert back with your Response and refer your friends Thanks & Regards Shanthi P

Hiring: AR Caller (US Healthcare RCM) Location: Pune & Mumbai (Work from Office) CTC: Up to 5.5 LPA Shift: US Shift (Night) | 5 Days Working | 2 Days Rotational Off Notice Period: Immediate to 30 Days About the Role We are looking for experienced AR Calling professionals (Provider Side) to join our growing US Healthcare RCM team. Eligibility: Experience: Minimum 1 year in AR Calling (Provider Side) Qualification: Any Graduate Key Skills: Revenue Cycle Management (RCM) Denial Management & Resolution AR Follow-up / Collections Physician / Provider Billing Prior Authorization HIPAA Compliance How to Apply? Contact: (HR Chanchal 9251688424)

Job Role: AR Prior Authorization Experience: 1 to 4 years Salary: up to 37 k based on skills and Experience Location: Chennai Work from office Online Interview Looking immediate joiners Please share your updated CV: Geetha S 9344502340

Hiring for Prior Authorization Voice Exp in Prior Authorization is Mandatory Exp : 1yr to 3yrs Job Location : Chennai And Bangalore Salary 37k max Work from Office Only Need Only Immediate Joiners Contact Sathya HR 9659045792

Hiring: AR Caller (US Healthcare RCM) Location: Pune & Mumbai (Work from Office) CTC: Up to 5.5 LPA Shift: US Shift (Night) | 5 Days Working | 2 Days Rotational Off Notice Period: Immediate to 30 Days About the Role We are looking for experienced AR Calling professionals (Provider Side) to join our growing US Healthcare RCM team. Eligibility: Experience: Minimum 1 year in AR Calling (Provider Side) Qualification: Any Graduate Key Skills: Revenue Cycle Management (RCM) Denial Management & Resolution AR Follow-up / Collections Physician / Provider Billing Prior Authorization HIPAA Compliance How to Apply? Contact: Sanjana 9251688426

Job Title: Prior Authorization (voice process) Company: Vee Healthtek Pvt Ltd Locations: Chennai Job Type: Full-time Salary: Competitive (based on experience) Benefits: 1200 Allowances, 1200 Food Card & Two-way Cab Key Responsibilities: • Review and process prior authorization requests for medical treatments and services. • Communicate with insurance companies to ensure timely approvals. • Work closely with healthcare professionals to gather necessary documentation. • Maintain accurate records and follow up on pending authorizations. • Ensure compliance with healthcare regulations and company policies. Who Can Apply? • AR Caller Prior Authorization: 1 year of experience in healthcare AR calling. • Senior AR Caller Prior Authorization: Minimum 2+ years of experience in AR calling with expertise in claim resolution. • Strong understanding of US healthcare revenue cycle management. • Excellent communication and analytical skills. • Ability to work night shifts and meet performance targets. If your interested in joining our team, please reach out to Vinith R at 9566699374 or email your resume to vinith.ra@veehealthtek.com. We look forward to welcoming you to Vee Healthtek Pvt Ltd!!!!

Job description Role & responsibilities Obtains prior-authorizations and referrals from insurance companies prior to procedures or Surgeries utilizing online websites or via telephone. Monitors and updates current Orders and Tasks to provide up-to-date and accurate information. Provides insurance company with clinical information necessary to secure prior-authorization or referral. Obtains and/or reviews patient insurance information and eligibility verification to obtain prior authorizations for injections, DME, Procedures, and surgeries. Preferred candidate profile Role Prerequisites: Minimum 1 year and above experience in Prior Authorization with Surgery/Orthopedic Experience Good understanding of the medical terminology and progress notes Any Graduate Full Time Degree is Mandatory (Any Stream) Freshers or Minimum 1+ years' experience in Pre-Authorization (RCM). Demonstrate excellent communication skills . Min. typing speed 25 wpm Familiar with Windows & software navigation (Provider) Perks and benefits Annual bonus Quarterly Incentive Program R & R Program GPA And GMC Interested candidates please Contact - HR Team - Venkatesh.ramesh@Omegahms.com or 8762650131

Review, analyze, and understand authorization requests, ensuring completeness and accuracy. Collaborate with internal departments to gather necessary information for authorization processing. Verify the eligibility and coverage details for authorization requests. Communicate with external stakeholders, including insurance providers and regulatory bodies, to obtain necessary approvals. Maintain accurate records of authorization requests, approvals, and denials. Understand the appeal requirements and process for any unapproved authorizations and ensure timely appeals. Monitor and stay informed about changes in industry regulations related to authorization processes and compliance. Provide support and guidance to staff involved in the authorization process. Generate reports and analyze data related to authorization activities.

Roles and Responsibilities Manage denial management processes to minimize claim rejections and optimize revenue cycle management (RCM). Conduct thorough reviews of patient accounts, identifying potential issues and implementing corrective actions to prevent future occurrences. Collaborate with internal teams, including billing, coding, and customer service to resolve complex claims disputes. Analyze data trends and develop strategies to improve denial rates and reduce write-offs. Ensure compliance with regulatory requirements and industry standards for RCM best practices. Desired Candidate Profile 1-2 years of experience in US healthcare or related field, preferably in AR calling, EHR systems, or RCM roles. Excellent communication skills for effective collaboration with customers/patients over phone calls. Intersted Candidate can call on HR Chanchal (9251688424)

Hiring: AR Caller (US Healthcare RCM) Location: Pune & Mumbai (Work from Office) CTC: Up to 5.5 LPA Shift: US Shift (Night) | 5 Days Working | 2 Days Rotational Off Notice Period: Immediate to 30 Days About the Role We are looking for experienced AR Calling professionals (Provider Side) to join our growing US Healthcare RCM team . Eligibility: Experience: Minimum 1 year in AR Calling (RCM Provider Side) Qualification: Any Graduate Key Skills: Revenue Cycle Management (RCM) Denial Management & Resolution AR Follow-up / Collections Physician / Provider Billing Prior Authorization HIPAA Compliance Additional Preferred Skills Medical Billing | Claims Management | Appeals | CPT / ICD Awareness | Payment Posting | EOB Analysis | US Healthcare Voice Process | International BPO Healthcare | AR Analyst How to Apply? Contact: Sanjana – 9251688426 Apply now and be part of a leading US Healthcare team!

Hiring AR Callers - Prior Auth (Chennai), Denials & Underpayments (Chennai & Bangalore) Min 1 yr exp Salary up to 37K + food & shift allowance. WFO Relieving letters mandatory. Contact: Suvetha-9043426511

Job description The above job is for an AR Calling voice process, - work-from-office location in Bangalore. Candidates with experience in non-voice processes, claim adjudication, claim processing, or working on the payer side, as well as freshers, should please ignore this job posting. Role & responsibilities : - Minimum of 6 months of experience in handling accounts receivable, with a focus on denial management in the voice process. - Should have experience in handling US Healthcare Medical Billing. - Calling the insurance carrier & documenting the actions taken in claims billing summary notes. Preferred candidate profile : Should have min 6 months of experience into AR Calling , Denial management - Voice process ( Provider side) Interested call on 8762650131 or WhatsApp the resume on the same number. How to Apply: Contact Person: Venkatesh R (HR) Phone Number: 8762650131 (Call or WhatsApp) Email: Venkatesh.ramesh@omegahms.com Linked in : https://www.linkedin.com/in/venkatesh-reddy-01a5bb112/ This opportunity is a work-from-office (WFO) position based in Bangalore. Regards Venkatesh R https://www.linkedin.com/in/venkatesh-reddy-01a5bb112/ HR TEAMRole & responsibilities

Location Bangalore & work from office only Job highlights Minimum 1+ years' experience in Pre-Authorization and good understanding of medical terminology Obtain prior authorizations and referrals from insurance companies, monitor and update orders, provide clinical information for authorizations Job description **Please Ignore if you have experience into NON VOICE** Minimum 1+ years' experience in Pre-Authorization (RCM) Voice Process. Role & responsibilities Obtains prior-authorizations and referrals from insurance companies prior to procedures or Surgeries utilizing online websites or via telephone. Monitors and updates current Orders and Tasks to provide up-to-date and accurate information. Provides insurance company with clinical information necessary to secure prior-authorization or referral. Obtains and/or reviews patient insurance information and eligibility verification to obtain prior authorizations for injections, DME, Procedures, and surgeries. Preferred candidate profile Role Prerequisites: Minimum 1 year and above experience in Prior Authorization ( Voice Process ) Good understanding of the medical terminology and progress notes How to Apply Ready to take your career to the next level? Apply now! Email your resume to: Mansoor.shaikbabu@omegahms.com Call: +91 8618695607 Chat on WhatsApp: [Click here] (https://wa.me/8618695607?text=Hello) Quick Apply Link WA: [https://l1nk.dev/3XOpM](https://l1nk.dev/3XOpM) Regards: Mohammed Mansoor Human Resources Omega Healthcare LinkedIn: linkedin.com/in/mohammedmansoor8618695607 Phone: +91 8618695607 Email: (Mail to:Mansoor.shaikbabu@omegahms.com)

Verify patient insurance eligibility and benefits through payer portals or direct communication Follow up on pending authorizations and address any issues or discrepancies. Contact Number - 8956069774

Hiring for US Healthcare (RCM- AR Calling) Require Exp: Min. 1 Year into AR Calling (RCM)- Providers Side Skills: Revenue cycle management, Denial management, HIPPA, AR Follow up, Physician Billing CTC: Up to 5.5 LPA Location: Pune Qualification: Any Graduate Work from office Shifts: US 5 Days Working; 2 days rotational off Notice: Immediate to 30 Days CONTACT: Sanjana- 9251688426

Greetings from Vee Healthtek....! We are hiring 200+ AR Callers & Senior AR Callers Experience: 1 Yrs. to 4 Yrs. ( Relevant AR experience) Process - AR Calling - Denials Management (Voice) Designation : AR Caller/Senior AR Caller Location - Chennai Qualification: PUC and Any graduate can apply Remote interview process Virtual meetings Swetha - 9500489666(Available on Whats App) Please share your updated CV with Swetha.g@veehealthtek.com Perks and benefits: * Week Off Details: Fixed off on Saturdays & Sundays * Cab facility: 2-way cab available * Night shift allowance * 1200rs worth food coupon every month * Incentives based on performance