Walk-in | Nimble Hiring - Prior Authorization

Avontix; Hyderabad; On-site; INR 400,000 - 650,000; Full time

Job summary

Avontix in Hyderabad, India is seeking a prior authorization specialist to handle communications with insurance payers, verify benefits, and submit authorizations through various payer systems. The role requires documenting and tracking authorization requests and navigating payer guidelines within a healthcare revenue cycle.

The ideal candidate has experience with prior authorization submissions, is self-motivated, and willing to work night shifts.

Qualifications

• Experience communicating with insurance payers and verifying benefits.
• Experience submitting prior authorizations with required documents.

Responsibilities

• Proven ability to communicate effectively with insurance payers, including making outbound calls to verify benefits, obtain authorization requirements, and follow up on authorization requests.
• Experience creating and managing user accounts across payer portals and submitting authorization requests through various payer systems.
• Self-motivated and resourceful professional with strong problem-solving skills and the ability to independently navigate payer processes, resolve authorization barriers, and track request status.
• Demonstrated experience submitting prior authorization requests with all required clinical and supporting documentation to ensure timely and successful processing. This is a mandatory requirement.
• Strong understanding of authorization workflows, payer guidelines, and documentation requirements within a healthcare revenue cycle environment.
• Experience managing authorizations for out-of-network services is highly preferred and considered a strong asset.

Skills

Communication

Problem-solving

Independence

Attention to detail

Education

Graduation

Job description

Role & responsibilities

• Proven ability to communicate effectively with insurance payers, including making outbound calls to verify benefits, obtain authorization requirements, and follow up on authorization requests.
• Experience creating and managing user accounts across payer portals and submitting authorization requests through various payer systems.
• Self-motivated and resourceful professional with strong problem-solving skills and the ability to independently navigate payer processes, resolve authorization barriers, and track request status.
• Demonstrated experience submitting prior authorization requests with all required clinical and supporting documentation to ensure timely and successful processing. This is a mandatory requirement.
• Strong understanding of authorization workflows, payer guidelines, and documentation requirements within a healthcare revenue cycle environment.
• Experience managing authorizations for out-of-network services is highly preferred and considered a strong asset.

Preferred candidate profile

• 1-4 years of experience in Prior Authorization.
• Experience handling Out-of-Network (OON) authorizations is highly preferred.
• Experience in Eligibility Verification and Benefits Verification is required.
• Knowledge of Accounts Receivable (AR) is required.
• Excellent communication skills.
• Graduation is mandatory.
• Willingness to work in the night shift.