Authorization Specialist

CONVERSE PLACEMENT SERVICES INDIA PRIVATE LIMITED; Hyderabad; On-site; INR 350,000 - 550,000; Full time

Job summary

CONVERSE PLACEMENT SERVICES INDIA PRIVATE LIMITED is seeking a detail-oriented Authorization Specialist in Andhra Pradesh to ensure patients receive the necessary authorizations for medical services. The role requires expertise in insurance verification, eligibility processes, and prior authorization procedures within the US healthcare system.

The successful candidate will interact with providers, payers, and patients, maintain precise authorization records, and stay updated on policy changes to

Qualifications

• Experience with US healthcare insurance verification and prior authorization processes.
• Strong communication and interpersonal skills for interacting with patients, providers and payers.
• Detail-oriented with excellent organizational abilities to manage multiple authorizations.

Responsibilities

• Conduct insurance verification to confirm patient eligibility for services.
• Manage the prior authorization process, ensuring all documentation is submitted and approvals obtained promptly.
• Collaborate with healthcare providers to gather required information for authorizations.
• Communicate with patients regarding insurance coverage and authorization status.
• Maintain accurate records of authorizations and follow up on pending requests.
• Stay updated on changes in insurance policies and procedures to ensure compliance and efficiency.

Skills

Insurance verification

Eligibility determination

Prior authorization

Communication with patients

Attention to detail

Team collaboration

Job description

We are seeking a detail-oriented Authorization Specialist to join our team in Andhra Pradesh. The ideal candidate will play a crucial role in the healthcare process by ensuring that patients receive the necessary authorizations for their medical services. This position requires a strong understanding of insurance verification and eligibility processes, as well as experience in working with both providers and payers.

Key Responsibilities:

• Conduct insurance verification to confirm patient eligibility for services.
• Manage the prior authorization process, ensuring all necessary documentation is submitted and approvals are obtained in a timely manner.
• Collaborate with healthcare providers to gather required information for authorizations.
• Communicate effectively with patients regarding their insurance coverage and authorization status.
• Maintain accurate records of authorizations and follow up on pending requests.
• Stay updated on changes in insurance policies and procedures to ensure compliance and efficiency in the authorization process.

Required Skills:

• Strong knowledge of insurance verification and eligibility processes.
• Familiarity with prior authorization procedures in the US healthcare system.
• Excellent communication and interpersonal skills to interact with patients, providers, and payers.
• Detail-oriented with strong organizational skills to manage multiple authorizations simultaneously.
• Ability to work independently and as part of a team in a fast-paced environment.