Pre-Authorization Associate (Semivoice)

Infinix; Mumbai; On-site; INR 350,000 - 500,000; Full time

Job summary

Infinix is a healthcare-focused BPO specializing in pre-authorization and referral management services. We seek a Pre-Authorization Associate to process medical service authorizations and referrals in a semivoice capacity.

This is a full-time role with fixed weekend offs and US shift timings. You will review patient information, coordinate with healthcare providers, and maintain accurate records to ensure timely approvals.

Qualifications

• Must have High School Certificate (HSC) or equivalent.
• Proficiency in basic computer operations and data entry.
• Strong communication skills for interacting with healthcare professionals.
• Ability to understand medical terminology and insurance concepts.
• Attention to detail and accuracy in data management.
• Ability to work on US shift timings.

Responsibilities

• Process and complete medical service authorizations and referrals for patients.
• Review patient history and insurance coverage to determine eligibility for approval.
• Contact referring physicians and medical facilities to gather additional clinical information required for authorization decisions.
• Input, update, and maintain accurate patient information and authorization details in the hospital management system.
• Monitor appointment and procedure schedules to ensure prior authorizations are obtained and in place before scheduled services.
• Communicate authorization status updates to healthcare providers and patients.
• Maintain compliance with healthcare data protection and confidentiality standards.
• Handle discrepancies and elevate complex authorization cases to supervisors as needed.

Skills

Data entry

Communication

Medical terminology

Insurance concepts

Attention to detail

US shift timings

Education

High School Certificate (HSC)

Tools

Hospital management system

Job description

About the Company

Infinix is a healthcare-focused business process outsourcing organization specializing in pre-authorization and referral management services. We partner with healthcare providers and insurance companies to streamline medical service approvals and ensure seamless patient care delivery.

Role Overview

The Pre-Authorization Associate will be responsible for processing medical service authorizations and referrals in a semivoice capacity. This role involves reviewing patient information, communicating with healthcare providers, and maintaining accurate records to ensure timely approval of medical procedures and services. This is a full-time position with fixed weekend offs and US shift timings.

Key Responsibilities

• Process and complete medical service authorizations and referrals for patients
• Review patient medical history and insurance coverage details to determine eligibility for approval
• Contact referring physicians and medical facilities to gather additional clinical information required for authorization decisions
• Input, update, and maintain accurate patient information and authorization details in the hospital management system
• Monitor appointment and procedure schedules to ensure prior authorizations are obtained and in place before scheduled services
• Communicate authorization status updates to healthcare providers and patients
• Maintain compliance with healthcare data protection and confidentiality standards
• Handle discrepancies and elevate complex authorization cases to supervisors as needed

Must-Have Skills

• High School Certificate (HSC) or equivalent qualification
• Proficiency in basic computer operations and data entry
• Strong communication skills for interacting with healthcare professionals
• Ability to understand medical terminology and insurance concepts
• Attention to detail and accuracy in data management
• Ability to work on US shift timings

Good to Have

• Previous experience in BPO or healthcare operations (6 months to 1 year)
• Familiarity with healthcare systems or medical billing processes
• Experience with patient communication and service
• Knowledge of insurance pre-authorization procedures
• Ability to handle multiple tasks simultaneously

What You Will Gain

• Comprehensive understanding of healthcare authorization and insurance verification processes
• Exposure to medical terminology and healthcare industry standards
• Development of customer service and professional communication skills
• Experience working in a structured BPO environment with international exposure through US shifts
• Career foundation in the growing healthcare operations sector

Resume Keywords

Pre-Authorization, Medical Authorization, Insurance Verification, Healthcare BPO, Patient Data Management, Authorization Processing, Healthcare Documentation, Referral Management, Healthcare Operations, Patient Information Systems, Medical Records, Insurance Coverage Verification, Healthcare Compliance, Customer Communication, Appointment Scheduling