Prior Authorization Associates - Hyderabad

Eclat-Health-Solutions-4; Hyderabad; On-site; INR 400,000 - 700,000; Full time

Job summary

Eclat-Health-Solutions-4 is seeking experienced Prior Authorization Associates in Hyderabad. Candidates will manage end-to-end Prior Authorization processes, ensuring timely patient care through accurate insurance interactions.

The ideal applicant has 1-5 years of experience, strong analytical and communication abilities, and familiarity with US Healthcare guidelines. Immediate joiners preferred.

Qualifications

• 1-5 years of experience in Prior Authorization.
• Good understanding of US Healthcare and basic medical terminologies.
• Ability to work on multiple payer portals and EMR systems.

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.

Skills

Prior Authorization process knowledge

Strong communication skills

Analytical skills

Attention to detail

Job description

1 - 5 Years

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

• 1–5 years of experience in Prior Authorization.
• Cardiology specialty experience is highly preferred.
• Immediate joiners will be an added advantage.