Walk-in || Associate, Prior Authorization

Job Description

We are seeking a detail-oriented Authorization Specialist to manage and handle the authorization process. The ideal candidate will ensure timely and accurate insurance authorizations while maintaining compliance with payer guidelines and client requirements.

Experience: 1- 7 years in Prior Authorization

Key Responsibilities

Manage end-to-end insurance authorization processes including pre-certifications, prior authorizations and Pre-determination.

Review clinical documentation to ensure it meets payer-specific requirements.

Coordinate with physicians, clinical staff, insurance providers, and internal teams to obtain approvals.

Track authorization status and follow up with payers to prevent delays or denials.

Maintain accurate documentation and update authorization details in internal systems.

Identify and escalate authorization-related issues or risks in a timely manner.

Ensure compliance with HIPAA regulations and organizational policies.

If interested, please send your cv on WhatsApp to PH: [phone removed], [phone removed]