Join Our Team at Staffingly, Inc. – Kondapur, Hyderabad 

• 📍 Location: Kondapur, Hyderabad 
• 📄 Type: Full-Time, On-Site (NO REMOTE) 
• 🕒 Shift Timing: USA Shift (India Night): 6.30 PM IST – 3.30 AM IST 
• 🚀 Start Date: Immediate 

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🌍 Position Overview: 

Important Note: Only applicants with relevant experience as specified in the job requirements should apply. This position demands specific skills and experience in Procedural Prior Authorization. If your background does not align with these criteria, please consider other opportunities more suited to your qualifications. 

🏥 Key Requirements: 

• 🏅 1-3 years of experience in procedural Prior Authorizations (PAs), particularly in specialties like Dermatology, Cardiology, Nephrology, Gastroenterology, etc. 
• 📑 Proficient in navigating insurance protocols and procedures to secure authorizations for medical procedures. 
• 🗣️ Ability to effectively communicate with healthcare providers, patients, and insurance companies to facilitate the authorization process. 
• 🔍 Strong attention to detail and analytical skills to review medical records and documentation for completeness and accuracy. 
• 🧠 Familiarity with medical coding and terminology relevant to procedural PAs. 
• ⚖️ Adherence to compliance standards and regulations governing prior authorization processes. 

💼 Roles and Responsibilities: 

• 📝 Reviewing and processing prior authorization requests for procedural medical services. 
• 📞 Communicating with healthcare providers to obtain necessary documentation and information for authorization submissions. 
• 🏦 Liaising with insurance companies to facilitate timely approval of prior authorization requests. 
• 🔍 Conducting thorough reviews of medical records and documentation to ensure compliance with insurance requirements. 
• 👥 Collaborating with internal teams to resolve any issues or discrepancies in prior authorization submissions. 
• 🗂️ Maintaining accurate records and documentation of prior authorization activities. 
• 📚 Staying updated on changes in insurance policies, regulations, and procedures relevant to prior authorizations.