Job highlights

- 1-5 years experience in Authorization/Pre-Authorization with strong knowledge of CPT, ICD, HCPCS codes and medical terminology
- Handle prior authorization requests, submit accurate patient and clinical info, follow up on request statuses, coordinate for medical records, and maintain compliance

Role & responsibilities Handle prior authorization and pre-authorization requests for US healthcare services.

- Submit authorization requests with accurate patient and clinical information.
- Follow up on pending, approved, denied, and additional-information requests.
- Review and understand CPT, ICD, HCPCS codes, medical terminology, and payer guidelines.
- Coordinate with internal teams to obtain required medical records and supporting documentation.




- Maintain accurate authorization details and update the system within the required timelines.
- Maintain quality, productivity, and compliance with company and client requirements.

Preferred candidate profile 0-5 Prior experience in Authorization / Pre-Authorization is preferred.

Solid attention to detail and ability to maintain accurate documentation.

Ability to work independently as well as in a team.

Good analytical and problem-solving skills.

Willingness to work in US/night shifts.

Strong understanding of medical terminology, CPT, ICD, and HCPCS codes.

📌 Walk-in || Prior Authorization Executive (Hyderabad)
🏢 JSD Medical Business Management Services
📍 Hyderabad