Job Title: Team Lead Prior Authorization (Hospital Billing Inpatient Services)

Location: Navi Mumbai

Department: US Healthcare RCM

Job Summary: We are looking for an experienced Team Lead – Prior Authorization to manage inpatient hospital authorization operations, ensure timely authorization approvals, and maintain process quality and productivity.

Key Responsibilities:

- Lead and manage the inpatient prior authorization team in US Hospital Billing.
- Oversee authorization requests, approvals, extensions, and status follow-ups with insurance payers.
- Ensure timely submission of clinical documentation and medical necessity information.
- Coordinate with insurance companies, hospitals, and internal teams to resolve authorization-related issues.
- Monitor team productivity, quality, turnaround time (TAT), and SLA adherence.
- Identify authorization-related denials and implement corrective actions.
- Conduct team huddles, performance reviews, coaching, and process training.




- Prepare daily and monthly performance reports and drive continuous improvement.

Required Skills & Qualifications:

- 7–11 years of experience in US Healthcare RCM, with robust expertise in Prior Authorization.
- Minimum 1–2 years of experience as a Team Lead handling inpatient hospital authorization.
- Strong knowledge of US insurance processes, payer guidelines, medical necessity, and inpatient authorization requirements.
- Experience handling authorization escalations, team performance, and quality metrics.
- Excellent communication, analytical, and team management skills.

Work Location : Navi Mumbai

Shifts : Night Shifts

Contact HR : Vinay (WhatsApp - (phone hidden))

Email : [email protected]

Regards

HR Team

Eclat Health Solutions India Pvt ltd

📌 Team Lead - Prior Authorization (Hospital Billing - Inpatient Service) (Mumbai)
🏢 Eclat Health Solutions
📍 Mumbai