- - Minimum of 2.5–5 years of experience in the healthcare industry, specifically in Prior Authorization.

- Proficient in CPT codes, diagnostic codes, and procedure or medication authorization across specialties such as Gastroenterology, Urology, Infusions, DME, and others.

- Solid understanding of co-pay and out-of-pocket expenses from an insurance standpoint.

- Skilled in using Microsoft Office Suite (Excel, Word, Outlook) and navigating the Internet effectively.

- Capable of handling confidential and sensitive information with discretion.

- Strong analytical skills to evaluate data and identify patterns or issues within the prior authorization workflow.

- Familiarity with medical terminology, insurance policies, and hospital billing procedures.





- High attention to detail and accuracy to ensure compliance with healthcare regulations and standards.

- Excellent verbal and written communication skills for effective interaction with healthcare providers, insurance companies, and internal teams.

- Problem-solving abilities to identify challenges and implement solutions that enhance the prior authorization process.

- Proficiency in using healthcare information systems and software related to prior authorization and claims processing.

- Cooperative mindset with the ability to work effectively in teams to streamline processes.

📌 Professional, Quality Analysis (Hyderabad)
🏢 Advantum Health Private
📍 Hyderabad