Team Lead - Prior Authorization (Bangalore)

Job description

Key Responsibilities: • Lead and manage Prior Authorization operations. • Ensure timely and accurate submission of authorizations. • Handle team performance, reviews, and escalations. • Participate in client calls and ensure SLA compliance. • Track key metrics like approval rates and turnaround time. Skills Required: • Minimum 6+years of experience in US healthcare processes, with at least 1 years in a Team Lead role (on paper) for Prior Authorization • Strong knowledge of Prior Authorization workflows, payer guidelines, and pre-cert requirements • Add-on experience in Eligibility and Benefits Verification is a strong advantage • Excellent communication and interpersonal skills must be comfortable leading client discussions • Strong team management, performance tracking, and escalation handling skills • Familiarity with EHR/EMR systems and payer portals. Good to Have: • Knowledge of insurance plans (Commercial, Medicare, Medicaid) • Experience in handling multi-specialty authorizations (Radiology, Surgery, DME, etc.) • Exposure to quality metrics and reporting tools • Understanding of HIPAA and compliance regulations Graduation Mandatory. Location: Hyderabad (On-site) Shift: Night Shift Reach Pradeep 9030365423 Mail ID - pradeep.varanasi@omegahms.com