Job Description

Job Title:

Prior Authorization Analyst

Location:

Mohali, Punjab

Experience Required:

Minimum 1+ year (Physician Side - US Healthcare)

:

We are seeking a skilled

Prior Authorization Analyst

with hands-on experience in

Physician-side Prior Authorization

. The role involves managing authorization requests, handling denials, and ensuring smooth communication with payers and providers.

Key Responsibilities:

Process

Prior Authorization requests

for physician services efficiently and accurately. Manage

denials, appeals, and resubmissions

for timely resolution. Conduct

calls with insurance companies

to check authorization status and requirements. Work with different insurance plan types (

HMO, PPO, EPO, POS

). Coordinate with physicians, providers, and insurance representatives. Document and track authorization requests, approvals, and denials. Ensure compliance with payer guidelines and healthcare regulations.

Required Skills & Experience:

Minimum

1+ year experience

in

Physician-side Prior Authorization

. Strong understanding of

prior auth denials and resolution

process. Good communication skills for

calling and follow-ups

with payers. Knowledge of insurance plan types (

HMO, PPO, EPO, POS

). Detail-oriented with the ability to work in a fast-paced environment. Familiarity with healthcare billing software will be an added advantage.

Benefits:

PF/ESIC Cab/Meal Facility GMI 5 Days Working
Job Type: Full-time

Pay: ₹12,941.33 - ₹59,999.00 per month

Benefits:

Commuter assistance Food provided Health insurance Provident Fund
Work Location: In person