Preauth Domain Specialist

WorkzApp; Mumbai; On-site; INR 250,000 - 420,000; Full time

Job summary

Teleperformance in Navi Mumbai (India) is seeking a Pre-Authorization Domain Specialist for full-time work on US shift timings. You will process pre-authorizations, verify patient information, and liaise with healthcare providers and insurers to secure approvals.

Strong attention to detail and HIPAA compliance are essential. The role involves documenting all cases, reviewing medical necessity, and resolving delays to maintain smooth workflow.

Qualifications

• 1–3 years of experience in pre-authorization or claims processing.
• Strong knowledge of healthcare insurance processes and pre-auth workflows.
• Excellent verbal and written communication skills.
• Ability to work on US shift timings with reliable attendance.
• High accuracy and attention to detail in data entry and documentation.
• Proficiency in using healthcare management systems and relevant software.

Responsibilities

• Process and manage pre-authorization requests for healthcare claims with accuracy and efficiency.
• Verify patient eligibility and insurance coverage information in real-time.
• Communicate with healthcare providers and insurance companies to obtain necessary approvals.
• Document all pre-authorization details and maintain comprehensive case records.
• Review medical necessity documentation and ensure compliance with insurance guidelines.
• Handle patient inquiries regarding pre-authorization status and requirements.
• Identify and resolve authorization delays or discrepancies.
• Meet daily targets and maintain quality standards in authorization processing.

Skills

Pre-authorization

Claims processing

HIPAA compliance

US shift familiarity

Data accuracy

Job description

Responds within 48 hours

About the role

About the Company

Teleperformance is a leading global provider of customer experience and business process services, serving healthcare and insurance sectors across multiple countries. With a strong presence in India, the company specializes in delivering high-quality pre-authorization and claims management solutions for the healthcare industry.

Role Overview

This is a full-time Pre-Authorization Domain Specialist position based in Navi Mumbai's Turbhe location. You will be responsible for processing pre-authorization requests, verifying patient information, and communicating with healthcare providers to ensure seamless authorization workflows. This role offers immediate joining with standard work-life balance on US shift timings.

Key Responsibilities

• Process and manage pre-authorization requests for healthcare claims with accuracy and efficiency
• Verify patient eligibility and insurance coverage information in real-time
• Communicate with healthcare providers and insurance companies to obtain necessary approvals
• Document all pre-authorization details and maintain comprehensive case records
• Review medical necessity documentation and ensure compliance with insurance guidelines
• Handle patient inquiries regarding pre-authorization status and requirements
• Identify and resolve authorization delays or discrepancies
• Meet daily targets and maintain quality standards in authorization processing

Must-Have Skills

• 1-3 years of proven experience in pre-authorization or claims processing domain
• Strong knowledge of healthcare insurance processes and pre-auth workflows
• Excellent verbal and written communication skills
• Ability to work on US shift timings with reliable attendance
• High accuracy and attention to detail in data entry and documentation
• Proficiency in using healthcare management systems and relevant software

Good to Have

• Previous experience working with Teleperformance or similar BPO organizations
• Familiarity with major insurance plans and carrier guidelines
• Knowledge of HIPAA compliance and patient privacy regulations
• Experience with medical terminology and healthcare documentation
• Multi-lingual capabilities for enhanced customer communication

What You Will Gain

• Deep expertise in healthcare pre-authorization processes and insurance workflows
• Professional experience working with US-based healthcare insurance companies
• Development of critical communication and problem-solving skills in a healthcare environment
• Stable employment with fixed incentives and recognition for consistent performance
• Exposure to international healthcare standards and compliance requirements

Resume Keywords:

Pre-Authorization, Healthcare Claims Processing, Insurance Verification, Patient Eligibility, Medical Documentation, Healthcare BPO, Claims Management, HIPAA Compliance, Insurance Industry, Authorization Workflow, Customer Service, Healthcare Operations, Data Accuracy, Medical Records, Patient Communication

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Skills & tools

Pre-Authorization Healthcare Claims Patient Communication Medical Documentation Insurance Verification HIPAA Compliance

Job type

Location