05 Nov
|
Linguini Labs
|
Delhi
05 Nov
Linguini Labs
Delhi
Location: New Delhi, India
Work Arrangement: Full-time, On-site in Dwarka Required
Shift: Night Shift
Company: Linguini Labs LLP
Start: Immediate
Key Responsibilities
- Review incoming prior authorization requests and verify that required information is complete.
- Verify patient insurance eligibility and advantages.
- Prepare and submit prior authorization requests to insurance payers.
- Follow up with insurance companies to obtain authorization decisions and status updates.
- Track pending, approved, denied, and escalated authorization requests.
- Identify missing documentation and coordinate with the appropriate healthcare team to obtain it.
- Escalate denials, exceptions, and complex cases to the appropriate team.
- Maintain accurate documentation and update patient records and authorization tracking systems.
- Perform quality checks to ensure accuracy, completeness, and timely processing.
- Follow established workflows, customer requirements, and HIPAA-related privacy and security procedures.
Qualifications
- 2 YOE for US healthcare insurance prior authorizations.
- Strong written and verbal English communication skills.
- Strong attention to detail and ability to manage multiple cases simultaneously.
- Comfortable working with sensitive patient information and following strict confidentiality requirements.
- Ability to work independently and meet productivity and quality targets.
- Familiarity with CPT and ICD-10 codes.
Security and Compliance Requirements
Because this role involves access to confidential U.S. healthcare information:
- Candidates must successfully complete pre-employment identity verification and background screening, including criminal background and applicable healthcare exclusion-list checks.
- Employees must complete HIPAA and information-security training before receiving access to customer systems.
- Employees must follow strict data privacy, confidentiality, and information-security policies.
- Use of personal devices, unauthorized applications, or unapproved AI tools for customer information is prohibited.
- What We Offer
- Opportunity to work with US based health systems, including the latest in AI for healthcare
- Competitive compensation and generous performance bonus starting at month four
- Respectful and collaborative working environment
- Structured training and ongoing professional development.
- Work alongside a US-based start-up growing quickly - leadership opportunities
How to Apply: Please submit your resume highlighting your experience with US healthcare prior authorizations (portals, etc) and a one minute video introduction.
📌 Prior Authorization Specialist - WFO US Night Shift (Delhi)
🏢 Linguini Labs
📍 Delhi