Job Role & Responsibilities:
Review and process prior authorization requests in accordance with client and payer guidelines.
Communicate with internal teams, providers, and insurance companies for approvals.
Ensure timely processing and documentation of all authorization cases.
Maintain compliance with HIPAA and healthcare regulations.
Escalate complex cases to the appropriate stakeholders when necessary.
Eligibility Criteria:
Age Limit: Up to 40 years
Experience in Prior Authorization process is mandatory.
No absconding history in prior employment.
Candidates available for immediate joining or serving notice period are welcome.