Pre Authorization - Team Coach & Team Lead

Talentboon Consulting; Hyderabad; On-site; INR 900,000 - 1,300,000; Full time

Job summary

Talentboon Consulting in Hyderabad, India seeks an experienced Lead for Pre-Authorization (Semi Voice) processes. You will lead a team handling initiation, follow-up, status verification, and authorization-related voice activities with insurers and TPAs.

The role focuses on achieving quality, productivity, SLA adherence, and compliant practices, while conducting audits, providing coaching, and driving CAPA actions to improve accuracy and efficiency.

Qualifications

• 6+ years of experience in Pre-Authorization (Semi Voice Process).
• At least 6 months of experience as Team Lead on papers.

Responsibilities

• Lead and manage a team handling pre-authorization activities with insurers and TPAs.
• Ensure quality, productivity, SLA, turnaround time, and compliance targets.
• Audit calls and processes to identify gaps and drive improvements.
• Provide coaching and performance feedback based on metrics.
• Ensure proper documentation and timely follow-ups in healthcare systems.
• Facilitate communication between providers, insurers, internal teams, and stakeholders.
• Resolve complex, delayed, and escalated authorization cases.

Skills

Pre-Authorization

Team Lead

Job description

Role & responsibilities

• Lead and manage a team handling Pre-Authorization initiation, follow-up, status verification, and authorization-related voice processes with insurance companies and TPAs.
• Ensure the team consistently meets defined quality, productivity, SLA, turnaround time, and compliance targets.
• Monitor and evaluate authorization calls to ensure accurate verification of insurance eligibility, benefits, authorization requirements, payer guidelines, and client-specific processes.
• Ensure associates follow established SOPs, quality parameters, compliance requirements, and client guidelines while handling authorization cases.
• Conduct regular call audits, transaction audits, and process reviews to identify errors, gaps, and opportunities for improvement.
• Provide timely and structured feedback, coaching, and performance improvement plans to team members based on quality and productivity outcomes.
• Monitor authorization cases for accurate documentation, timely follow-ups, proper status updates, and complete case notes in healthcare systems.
• Ensure accurate and effective communication between providers, insurance companies/TPAs, internal teams, and other stakeholders.
• Handle and resolve complex, delayed, and escalated authorization cases, ensuring appropriate follow-up and timely closure.
• Track team performance through quality scores, productivity metrics, error trends, SLA adherence, attendance, and other operational KPIs.
• Prepare and maintain quality reports, error trackers, performance dashboards, RCA reports, and management reports.
• Analyze recurring errors and conduct Root Cause Analysis (RCA) to identify process, knowledge, communication, or system-related gaps.
• Drive Corrective and Preventive Actions (CAPA) and process improvement initiatives to improve accuracy, productivity, turnaround time, and customer/client satisfaction.
• Conduct regular calibration sessions with Quality, Operations, Training, and other relevant teams to ensure consistent interpretation and application of quality parameters.
• Partner with the Training and Quality teams to

Preferred candidate profile

• Minimum 6 + Years of experience into Pre Authorization(Semi Voice Process)
• And also minimum 6 months of experience as Team Lead on Papers