Team Lead - Prior Authorization

Primera Medical Technologies; Hyderabad; On-site; INR 1,500,000 - 2,300,000; Full time

Job summary

Primera Medical Technologies in Hyderabad is seeking an experienced Team Lead - Prior Authorization to lead and optimize U.S. Healthcare RCM Prior Authorization operations.

You will manage a team, ensure SLA delivery, handle escalations, denials, and appeals, and collaborate with clients and stakeholders to improve accuracy and turnaround times.

Qualifications

• 8-12 years of experience in U.S. Healthcare RCM with Prior Authorization expertise.
• 2+ years of team handling experience.
• Strong knowledge of insurance verification, prior authorization, referral management, and payer guidelines.
• Experience handling escalations, denials, appeals, and authorization follow-ups.
• Proven ability to manage SLAs, productivity, quality, and team performance.
• Excellent communication, analytical, and stakeholder management skills.
• Proficiency in healthcare applications and MS Excel.

Responsibilities

• Lead and manage Prior Authorization operations within the U.S. Healthcare RCM domain.
• Manage SLAs, productivity, quality, and team performance.
• Handle escalations, denials, appeals, and authorization follow-ups.
• Engage with clients and stakeholders to ensure accurate, timely authorizations.

Skills

Prior Authorization

Healthcare RCM

Team Leadership

Stakeholder Mgmt

Communication

Analytical

MS Excel

Payer Guidelines

Insurance Verification

Referral Mgmt

Tools

MS Excel

Job description

Hiring: Team Lead - Prior Authorization

Experience: 8-12 Years

We are looking for an experienced Team Lead - Prior Authorization to lead and manage Prior Authorization operations within the U.S. Healthcare Revenue Cycle Management (RCM) domain. The ideal candidate will have strong expertise in authorization processes, payer requirements, team management, and client/stakeholder engagement.

Key Requirements:

• 8-12 years of experience in U.S. Healthcare RCM with Prior Authorization expertise
• 2+ years of team handling experience
• Strong knowledge of insurance verification, prior authorization, referral management, and payer guidelines
• Experience handling escalations, denials, appeals, and authorization follow-ups
• Proven ability to manage SLAs, productivity, quality, and team performance
• Excellent communication, analytical, and stakeholder management skills
• Proficiency in healthcare applications and MS Excel

Preferred:

• Immediate joiners or candidates available within 15 days
• Experience in Home Health, Specialty Pharmacy, Hospital, or Physician Practice authorization processes
• Knowledge of Medicare, Medicaid, and Commercial payer requirements.

Joining: Immediate Joiners Preferred