Prior Authorization Specialists

Cap Talent HR; Hyderabad; In loco; INR 300.000 - 420.000; Tempo pieno

Descrizione del lavoro

Cap Talent HR in Hyderabad is seeking an experienced Prior Authorization Specialist to manage prior authorizations and referrals with a focus on accuracy and speed.

The role requires strong medical terminology knowledge, familiarity with EMR/EHR systems, and the ability to coordinate with insurance payers to obtain timely approvals for procedures, surgeries, injections, and DME services, ensuring smooth patient access to care.

Competenze

• 1.6+ years of experience in Prior Authorization / Pre-Authorization.
• Strong knowledge of medical terminology and healthcare insurance processes.
• Experience with insurance portals and payer guidelines.
• Excellent communication and follow-up skills.
• Strong attention to detail and documentation accuracy.
• Ability to work in a fast-paced healthcare environment.
• Familiarity with EMR/EHR systems preferred.

Mansioni

• Obtain prior authorizations and referrals from insurance payers.
• Verify patient insurance eligibility.
• Coordinate with payers to secure timely approvals for procedures, surgeries, injections, and DME services.

Conoscenze

Prior Authorization

Medical terminology

Insurance processes

Communication

Attention to detail

EMR/EHR familiarity

Formazione

Graduate

Strumenti

EMR/EHR systems

Descrizione del lavoro

Role & responsibilities

Job Summary:

We are seeking experienced and detail-oriented Prior Authorization

Specialists with a strong understanding of medical terminology and

healthcare insurance processes. The ideal candidate will be responsible for obtaining prior authorizations and referrals from insurance companies, verifying patient insurance eligibility, and coordinating with payers to ensure timely approvals for procedures, surgeries, injections, and DME services.

Preferred candidate profile

Required Skills & Qualifications:

• Minimum 1.6+ years of experience in Prior Authorization / Pre-Authorization.
• Strong knowledge of medical terminology and healthcare insurance processes.
• Experience working with insurance portals and payer guidelines.
• Excellent communication and follow-up skills.
• Strong attention to detail and documentation accuracy.
• Ability to work in a fast-paced healthcare environment.
• Familiarity with EMR/EHR systems is preferred.

Preferred Candidate Profile:

• Experience handling authorizations for surgeries, procedures, injections, and DME.
• Good analytical and problem-solving skills.
• Should be a Graduate.
• Ability to manage multiple tasks with minimal supervision.

Benefits:

• Night Shift Allowance: 100 per working day
• Fixed Week Offs: Saturday & Sunday
• Two-Way Cab Facility (Within 25 KM Radius)
• Self-Transportation Allowance up to 3,500 per month
• Excellent Career Growth Opportunities

Regards,

HR Manager