Prior Authorization Specialist
- Staffingly Outsourcing
- 1 - 6 years
- Hyderabad
- 3 months ago
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Job Description
Job Title: Prior Authorization Specialist
Location: Kondapur, Hyderabad
Type: Full-Time, On-Site (NO REMOTE)
Shift Timing: USA Shift (India Night): 6.30 PM IST - 3.30 AM IST
Start Date: Immediate
We appreciate the value of your time as well as ours, so please review the entire job description and apply only if you are interested in working at our office in Kondapur, Hyderabad.
At Staffingly, Inc., we are at the forefront of revolutionizing healthcare operations by providing essential services to doctors, laboratories, pharmacies, and other healthcare providers. As a leader in economic Prior Authorization solutions, we tackle the challenges of staff shortages that impact revenue flow and patient care quality. Our mission is to empower healthcare facilities to focus on what truly mattersexceptional patient careby simplifying and streamlining their administrative processes.
Our comprehensive service offerings include handling intricate Prior Authorization processes, accurate insurance verifications, expert management of medication and procedural authorizations, full-spectrum Revenue Cycle Management (RCM), Medical Billing/Coding, Data Entry, and Customer Support services. With 24/7 operations, we ensure efficiency and responsiveness, supporting our clients in maintaining smooth and effective healthcare delivery.
If youre passionate about making a meaningful impact in the healthcare industry by improving operational efficiencies and enhancing patient care, Staffingly, Inc. is the place for you. We are eager to see how your skills and expertise can contribute to our growth and success. For more information, visit us at https://staffingly.com
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Position Overview:
Important Note: Only applicants with relevant experience as specified in the job requirements should apply. This position demands specific skills and experience in Procedural Prior Authorization. If your background does not align with these criteria, please consider other opportunities more suited to your qualifications.
Roles and Responsibilities:
Reviewing and processing prior authorization requests for procedural medical services.
Communicating with healthcare providers to obtain necessary documentation and information for authorization submissions.
Liaising with insurance companies to facilitate timely approval of prior authorization requests.
Conducting thorough reviews of medical records and documentation to ensure compliance with insurance requirements.
Collaborating with internal teams to resolve any issues or discrepancies in prior authorization submissions.
Maintaining accurate records and documentation of prior authorization activities.
Staying updated on changes in insurance policies, regulations, and procedures relevant to prior authorizations.
Key Requirements:
1-6 years of experience in procedural Prior Authorizations (PAs), particularly in specialties like Dermatology, Cardiology, Nephrology, Radiology, Oncology , etc.
Proficient in navigating insurance protocols and procedures to secure authorizations for medical procedures.
Ability to effectively communicate with healthcare providers, patients, and insurance companies to facilitate the authorization process.
Strong attention to detail and analytical skills to review medical records and documentation for completeness and accuracy.
Adherence to compliance standards and regulations governing prior authorization processes.
Benefits:
Provident Fund contributions.
Overtime and holiday pay.
On-site benefits, including travel allowances and meals.
Referral and birthday bonuses.
Night shift allowances.
Recognition through our "Employee of the Month" program.
Please share your resume to ca***r@st*******y.in
Job Classification
Industry: BPM / BPOFunctional Area / Department: Healthcare & Life SciencesRole Category: Healthcare & Life Sciences - OtherRole: Healthcare & Life Sciences - OtherEmployement Type: Full timeContact Details:
Company: Staffingly OutsourcingLocation(s): Hyderabad
Keyskills: Eligibility Verification Insurance Verification Prior Authorization US Healthcare RCM
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Staffingly Outsourcing
Staffingly Outsourcing Services Pvt. Ltd. is a leading provider of healthcare outsourcing solutions, specializing in medical back-office operations, revenue cycle management, and patient support services. With a strong presence in the industry, we collaborate with healthcare providers, clinics, and ...
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