Huge Openings For Prior Authorization

We are hiring experienced professionals for Pre-Authorization (Prior Authorization) roles in the US Healthcare RCM domain. Candidates should have strong knowledge of hospital/physician prior authorization processes, payer guidelines, and end-to-end workflow management.

Open positions include:

• Pre-Authorization Analyst
• Quality Analyst (QA)
• Team Leader (TL)

Role & responsibilities :

For Pre-Authorization Analyst:

• Handle prior authorization requests for hospital/physician services
• Verify insurance eligibility & benefits
• Submit authorization requests via payer portals/calls/fax
• Follow up with insurance companies for approval status
• Ensure proper documentation and compliance with payer guidelines
• Maintain TAT and productivity targets

Preferred candidate profile

• Strong knowledge of Prior Authorization / Pre-Certification
• Experience in US Healthcare RCM (Hospital/Physician)
• Familiarity with payer guidelines (Medicare/Medicaid/Commercial)
• Good communication and analytical skills
• Experience with payer portals, EMR/EHR systems
• Strong understanding of medical terminology & CPT/ICD codes

Eligibility Criteria:

• Minimum 1+ years of relevant experience
• Experience in Pre-Authorization is mandatory
• For QA/TL roles: Prior experience in quality auditing / team handling
• Graduate in any discipline

Whats up cv to 8885935810 or share cv to dp@talentqs.com