PRIOR AUTHORIZATION SPECIALISTS

HIRING ALERT | PRIOR AUTHORIZATION SPECIALISTS

Location: Uppal, Hyderabad

Are you an experienced Prior Authorization Specialist looking for your next career opportunity in the healthcare industry?

We are hiring experienced Prior Authorization Specialists with strong knowledge of medical terminology, healthcare insurance processes, payer portals and authorization workflows.

ROLE: PRIOR AUTHORIZATION SPECIALIST

KEY RESPONSIBILITIES
Obtain prior authorizations and referrals through insurance portals and telephonic communication
Verify patient insurance eligibility, coverage and benefits
Process authorization requests for surgeries, procedures, injections and DME
Submit required clinical documentation to insurance companies
Track, monitor and follow up on pending authorization requests
Maintain accurate authorization records and system updates
Coordinate with physicians, clinical teams and insurance representatives
Resolve authorization-related issues
Ensure timely completion of requests to avoid delays in patient care
Follow payer guidelines and organizational standards

REQUIRED QUALIFICATIONS
1.6+ years of experience in Prior Authorization / Pre-Authorization
Strong knowledge of medical terminology and healthcare insurance processes
Experience working with insurance portals and payer guidelines
Excellent communication and follow-up skills
Strong attention to detail and documentation accuracy
Ability to work in a fast-paced healthcare environment
Familiarity with EMR/EHR systems is preferred
Graduates only

PREFERRED EXPERIENCE
Candidates with experience in authorizations related to:
Surgeries
Medical Procedures
Injections
Durable Medical Equipment (DME)

BENEFITS
Saturday amp; Sunday – Fixed Week Offs
Two-Way Cab Facility – within 25 KM radius
Self-Transportation Allowance up to ₹3,500/month
Excellent Career Growth Opportunities
Job Location: Uppal, Hyderabad

How to Apply:Interested candidates can share their updated resume at:
[email protected]

Subject: Application – Prior Authorization Specialist | Hyderabad

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Work Location: In person