Prior Authorization Specialist

Ravin Software Solutions; Hyderabad; On-site; INR 495,000 - 605,000; Full time

Job summary

Ravin Software Solutions in Hyderabad is seeking a skilled Prior Authorization Specialist with knowledge of US Healthcare and end-to-end authorization processes. The role requires provider-side experience and proficiency with healthcare software, including EPIC.

Responsibilities include handling end-to-end prior authorizations, coordinating with providers, verifying insurance eligibility, and managing records across multiple medical specialties. Immediate joiners considered.

Qualifications

• Minimum 18 months of prior authorization experience.
• Provider-side experience mandatory; payer-side not eligible.
• Experience with multiple medical specialties.
• Graduation is mandatory.
• Experience with healthcare software tools; EPIC is an added advantage.

Responsibilities

• Handle end-to-end prior authorization requests.
• Coordinate with healthcare providers via calls and software portals.
• Verify patient insurance eligibility and coverage.
• Process authorizations across medical specialties.
• Follow up on pending requests and maintain records.

Skills

Prior Authorization

US Healthcare knowledge

Communication skills

EPIC

Education

Graduation required

Tools

EPIC software

Job description

Job Title

Prior Authorization Specialist US Healthcare

Location: Uppal, Hyderabad

Experience: 1.6+ Years

Salary: Up to 5.5 LPA

Openings: 100

Process: Voice Process

Job Description

We are looking for experienced Prior Authorization Specialists with knowledge of US Healthcare and end-to-end authorization processes.

Responsibilities

• Handle end-to-end prior authorization requests.
• Coordinate with healthcare providers through calls and software portals.
• Verify patient insurance eligibility and coverage.
• Process authorizations for multiple medical specialties.
• Follow up on pending requests and maintain accurate records.

Requirements

• Minimum 18 months of Prior Authorization experience.
• Provider-side experience is mandatory; payer-side candidates are not eligible.
• Experience in multiple medical specialties is mandatory.
• Good communication skills.
• Experience with healthcare software tools; EPIC is an added advantage.
• Graduation is mandatory.

Interview Details

• Mode: Virtual
• Rounds: 2
• Interview Time: Daily at 3:30 PM
• Notice Period: Immediate joiners to 30 days
• Relocation candidates can also apply.

Preferred Companies

Aegis Healthcare, Infinx Healthcare, Omega Healthcare, and Axis.

Not Eligible

Candidates currently working with Optum, Carelon, or Sagility.

Contact Person

Kiran

Email: [e-mail]

Phone: [phone]