Role & responsibilities :

- Review patient information, medical records, and insurance details to determine authorization requirements.
- Verify patient eligibility and insurance perks.
- Submit prior authorization requests to insurance companies/payers through portals, phone, fax, or other required channels.
- Coordinate with doctors, hospitals, clinical teams, and insurance companies to obtain necessary documentation.
- Follow up on pending authorization requests and ensure approvals are received within required timelines.
- Track authorization status and maintain accurate records in the system.
- Handle authorization denials, identify the reason for denial, and coordinate for resubmission or appeal when required.
- Ensure compliance with insurance guidelines and healthcare regulations.
- Communicate professionally with insurance representatives and internal healthcare teams.




- Meet daily productivity, accuracy, turnaround-time, and quality targets.

Required Skills:

- Good communication skills, especially English.
- Basic knowledge of US healthcare/medical insurance.
- Understanding of Prior Authorization, Eligibility, Benefits, CPT, ICD-10, and medical terminology is an advantage.
- Good computer and documentation skills.
- Attention to detail and ability to work with confidential patient information.
- Ability to work under deadlines and handle multiple cases.
- Basic knowledge of MS Excel and healthcare/RCM software.

For More Details:

Contact : Lakshita - (phone hidden)/(phone hidden)

Email ID - [email protected]

📌 Prior Authorization (Noida)
🏢 CorroHealth
📍 Noida