Prior Authorization Associates - 9th March '26 (Cardiology)

ECLAT Health Solutions; Hyderabad; On-site; INR 300,000 - 600,000; Full time

Job summary

Eclat-Health-Solutions-4 is seeking experienced Prior Authorization Associates in Hyderabad. The role involves obtaining prior authorizations from insurance companies for medical procedures, ensuring compliance with payer guidelines. Candidates should have 1-4 years of experience in Prior Authorization, preferably in Cardiology. Immediate joiners will have an advantage. This is a full-time position actively contributing to patient care and billing accuracy.

Qualifications

• 1-4 years of experience in Prior Authorization.
• Cardiology specialty experience preferred.
• Immediate joiners are an added advantage.

Responsibilities

• Handle end-to-end Prior Authorization processes for medical services.
• Verify patient insurance eligibility and benefits.
• Initiate and follow up on authorization requests.
• Coordinate with physicians and clinics for documentation.
• Track authorization status and ensure timely approvals.
• Maintain accurate records and compliance with guidelines.
• Work on denials and re-submissions if required.

Skills

Understanding of US Healthcare – Prior Authorization process

Strong communication skills

Analytical skills

Ability to work on multiple payer portals and EMR systems

Attention to detail

Knowledge of medical terminologies and insurance guidelines

Job description

Prior Authorization Associates - 9th March '26 (Cardiology)

1-4yrs

Full-Time

We are looking for experienced Prior Authorization Associates to join our team. The candidate will be responsible for obtaining prior authorizations from insurance companies for medical procedures, services, and medications to ensure timely patient care and accurate billing.

Key Responsibilities:

• Handle end-to-end Prior Authorization processes for medical services.
• Verify patient insurance eligibility and benefits.
• Initiate and follow up on authorization requests with insurance providers.
• Coordinate with physicians, clinics, and internal teams for required documentation.
• Track authorization status and ensure timely approvals.
• Maintain accurate records in the system and update authorization details.
• Ensure compliance with payer guidelines and client requirements.
• Work on denials and re-submissions if required.

Required Skills:

• Good understanding of US Healthcare – Prior Authorization process.
• Strong communication and analytical skills.
• Ability to work on multiple payer portals and EMR systems.
• Attention to detail and ability to meet turnaround time (TAT).
• Basic knowledge of medical terminologies and insurance guidelines.

Eligibility Criteria:

• 1–4 years of experience in Prior Authorization.
• Cardiology specialty experience is highly preferred.
• Immediate joiners will be an added advantage.