87 Prior Authorization Jobs - Page 2

HIRING US Healthcare Openings for experienced in Prior Authorization at Advantum Health, Hitech City, Hyderabad. Should have experience of atleast 2 years in Prior Authorization and Eligibility and Benefits Verification Location : Hyderabad Work from office Shift: Night Shift (5.30pm to 2.30am) WALK -IN with your resume from 6pm to 10pm on any day from Monday to Friday. Interviews would be completed on same day. Ph: 9100337774, 7382307530, 8247410763, 9059683624 Salary upto 52k Per Month. One way cab + Rs. 2000 Transportation allowance is provided. For 2 way, Rs. 4000 is the Transport allowance Address for WALK-IN: Advantum Health Private Limited, Cyber gateway, Block C, 4th floor Hitech City, Hyderabad. Location: https://www.google.com/maps/place/17%C2%B026'50.0%22N+78%C2%B022'30.9%22E/@17.44721,78.3726691,636m/data=!3m2!1e3!4b1!4m4!3m3!8m2!3d17.44721!4d78.375244?entry=ttu&g_ep=EgoyMDI1MDEwOC4wIKXMDSoASAFQAw%3D%3D Follow us on LinkedIn, Facebook and Instagram for all updates: Advantum Health Linkedin Page: https://www.linkedin.com/showcase/advantum-health-india/ Advantum Health Facebook Page: https://www.facebook.com/profile.php?id=61564435551477 Advantum Health Instagram Page: https://www.instagram.com/reel/DCXISlIO2os/?igsh=dHd3czVtc3Fyb2hk Advantum Health India Youtube link: https://youtube.com/@advantumhealthindia-rcmandcodi?si=265M1T2IF0gF-oF1 Advantum Health Threads link: https://www.threads.net/@advantum.health.india HR Dept, Advantum Health Pvt Ltd Cybergateway, Block C, Hitech City, Hyderabad Ph: 9100337774, 7382307530, 8247410763, 9059683624

Hiring AR Prior Authorization - Voice Process Exp: 1 to 4 yrs Salary : 40 K Based on Skills Location : Chennai Work from office Interview Mode : Online Relieving letter is not mandatory. Interested Call / Whatsapp your CV : 9976707906 - Saranya, HR Required Candidate profile Skills : # Min 1 year experience in AR Prior Authorization Voice Process # Ready to join immediately # Willing to work Night Shift. Note : # Two Wab Cab Free

HIRING ALERT PRIOR AUTHORIZATION Process || Up to 40,000 Take-home || Experience Required: Minimum 1 Year in Prior Authorization Location: Chennai (Work From Office) Salary: Up to 40,000 Take-home Perks: 2-Way Cab Facility Joining: Immediate Joiners Preferred | Relieving Letter NOT Mandatory Shift: Night Shift (US Shift) Employment Type: Full-time | Permanent Role Why Join Us? Competitive take-home salary up to 40,000/month 2-way cab transport for safe & hassle-free commute Stable and fast-growing organization in US Healthcare Relieving letter not mandatory smooth onboarding for experienced professionals Immediate joining opportunities available Apply Now! Contact HR Suvarna: 7095162832 Email your resume to: suvarna2508kondepogu@gmail.com Dont miss out on this rewarding opportunity Apply Today!

Hiring for RCM – Eligibility & Beneficiary Verification EVBV. Verify insurance & benefits, address claims, meet TAT/quality targets, analyze accounts, document actions, and coordinate with teams. Cell: 8247045153, Email: a3rcmrecruitment@gmail.com Required Candidate profile Graduate with min 1 yr or UG with 2 yrs exp in EVBV/PA Strong knowledge of insurance eligibility, benefits & claim processing. Familiar with payer portals, IVR systems & billing tools. Perks and benefits Incentives Night shift allowance cab facility

Ascent is looking for AR caller and EVBV/ PA Experience: 1+years (Revelant exp in RCM) Location: Nagpur (IT Park) Notice Period: Immediate Joiner Interested candidate can share their CV at darshanad@ascent-group.com or contact at 9175446998

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We are hiring for "EVBV/ PRIOR AUTHORIZATION" for an MNC for MUMBAI Location. Salary : Upto 5.75 LPA Shift : Any 5 Days working Both sided cab WFH Need Good English Comm. skills Must have good knowledge of RCM. Only Immediate Joiners needed Required Candidate profile Must have 1 to 3 Yrs of exp. in same profile. Verifying patient insurance coverage, ensuring accurate eligibility & benefits information, & supporting seamless claims processing. Call : 9335-906-101

Job Opening: Prior Authorization & EVBV Process Location: Chennai, Hyderabad, Mumbai Notice Period: 0-30Days Salary: Up to 5 LPA Cab Facility: 2-way cab provided Job Description: We are hiring for the Prior Authorization & EVBV Process role across multiple locations Chennai, Hyderabad, and Mumbai . If you have experience in healthcare processes and are looking for a dynamic work environment with growth opportunities, this is your chance! Key Requirements: Prior experience in Prior Authorization or EVBV process is preferred Excellent communication and analytical skills Willingness to work in night shifts Notice period: Immediate joiners preferred (060 days accepted) Perks & Benefits: Competitive salary up to 5 LPA+Incentives Two-way cab facility provided Apply Now and be a part of our growing team! Interested candidates can share your updated resume to HR Sumalika- 9030461574(share resume via WhatsApp ) Refer your friend's / Colleague s

GET THE FUTURE YOU WANT WE ARE HIRING Prior Authorization & EVBV Designation:- Revenue Cycle Representative Eligibility Criteria: Minimum 1 year of experience in Prior Authorization or EVBV from the provider side Good understanding of the medical terminology and progress notes. Immediate joiners are preferred Perks & Benefits: Attractive Incentive Plans 5 days working Home Pickup & Drop Contact Person: Madhumita Poojari - 9987222135 | madhumita.poojari@ikshealth.com Aanchal Mishra - 9833062691 | aanchal.mishra@ikshealth.com Send your CV to careers@ikshealth.com

Must Have Worked for US Healthcare EV/BV & Pre Auth Location:- Navi Mumbai ( Airoli ) & HYD (Uppal) Shift - 5.30pm to 2.30pm 5 Days Working ( Sat & Sun Fixed Week off Salary:- negotiable Reliving Letter Is Mandatory Experience in Provider side , Voice Process INTERESTED CANDIDATES CONTACT 8074384512 NAGAMANI HR

Secure prior-authorizations/referrals, verify insurance, update orders, provide clinical information, and requests retro-authorizations.

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