Pre Authorization

Talentboon Consulting; Hyderabad; On-site; INR 350,000 - 550,000; Full time

Job summary

Talentboon Consulting seeks a detail-oriented Pre-Authorization specialist to verify insurance eligibility and manage authorization workflows. You will liaise with clinics, insurers and internal teams to gather required documentation and ensure timely approvals for scheduled services.

The ideal candidate has 1–4 years of experience in pre-authorization, calling and follow-up. You will maintain accurate records, meet productivity targets and uphold quality and compliance standards.

Qualifications

• Verify insurance eligibility, benefits and authorization requirements for scheduled services.
• Submit and follow up on pre-authorization requests with insurers/TPAs.
• Coordinate with providers and internal teams to collect required clinical documentation.
• Track authorization status and resolve pending, denied, or delayed requests.
• Maintain accurate records and update authorization details in healthcare systems.
• Ensure timely follow-ups while meeting productivity, quality and compliance standards.

Responsibilities

• Verify insurance eligibility, benefits, and authorization requirements for scheduled services.
• Submit and follow up on pre-authorization requests with insurance companies/TPAs.
• Coordinate with providers and internal teams to collect required clinical documentation.
• Track authorization status and resolve pending, denied, or delayed requests.
• Maintain accurate records and update authorization details in healthcare systems.
• Ensure timely follow-ups while meeting productivity, quality, and compliance standards.

Skills

Pre-Authorization

Calling

Follow-up

Initiation

Job description

Role & responsibilities

• Verify insurance eligibility, benefits, and authorization requirements for scheduled services.
• Submit and follow up on pre-authorization requests with insurance companies/TPAs.
• Coordinate with providers and internal teams to collect required clinical documentation.
• Track authorization status and resolve pending, denied, or delayed requests.
• Maintain accurate records and update authorization details in healthcare systems.
• Ensure timely follow-ups while meeting productivity, quality, and compliance standards

Preferred candidate profile

1 to 4 years of experience into Pre-Authorization ,Calling,Follow-up,Initiation