Walk-in | Sr.Prior Authorization Specialist

JSD Medical Business Management Services; Hyderabad; On-site; INR 300,000 - 420,000; Full time

Benefits offered by this job

Night shift

Virtual interview available

Job summary

JSD Medical Business Management Services is seeking a dedicated Prior Authorization specialist to support US healthcare workflows. You will review services, submit requests, and follow up with payers while ensuring compliant documentation.

The role emphasizes strong communication, adherence to timelines, and knowledge of payer guidelines. Night shift availability is required, with a virtual interview option for distant candidates.

Qualifications

• Experience with prior authorization in US healthcare is preferred.
• Excellent communication with healthcare providers and insurers.
• Strong understanding of healthcare and insurance processes.

Responsibilities

• Check whether prior authorization is required for medical services.
• Submit authorization requests to insurance companies.
• Follow up with insurance payers regarding pending authorizations.
• Maintain accurate authorization records and documentation.
• Communicate with healthcare providers and insurance representatives.
• Identify authorization denials and assist with corrections or appeals.
• Ensure authorizations are obtained within required timelines.
• Follow payer-specific guidelines and healthcare processes.

Skills

Prior Authorization

Communication skills

Education

B.Pharm

M.Pharm

Pharm.D

Job description

Role & responsibilities

• Check whether prior authorization is required for medical services.
• Submit authorization requests to insurance companies.
• Follow up with insurance payers regarding pending authorizations.
• Maintain accurate authorization records and documentation.
• Communicate with healthcare providers and insurance representatives.
• Identify authorization denials and assist with corrections or appeals.
• Ensure authorizations are obtained within required timelines.
• Follow payer-specific guidelines and healthcare processes.

Preferred Candidate Profile

• Candidates with experience in Prior Authorization in the US Healthcare industry will be preferred.
• B.Pharm, M.Pharm, or Pharm.D candidates are preferred.
• Candidates should have good knowledge of healthcare/insurance processes and strong communication skills.
• Night Shift Only.
• Candidates who live far from Madhapur, Hyderabad, can request a virtual interview