Prior Authorization QCA - US Healthcare RCM

Location

Visakhapatnam, Andhra Pradesh, India

Salary

Not specified

Company

Akash pawar

Job description

• Role & Company / Project Overview We are hiring a Prior Authorization QCA (Quality Control Analyst) for our US Healthcare Revenue Cycle Management (RCM) division in Visakhapatnam (Vizag). • Key Responsibilities & Daily Duties - Conduct quality audits on prior authorization submissions, approvals, and payer communications - Ensure compliance with client protocols, insurer policies, and submission standards - Analyze error patterns, track accuracy rates, and deliver constructive feedback to team members • Required Qualifications, Skills & Experience - 4+ years of hands-on experience in Prior Authorization within US Healthcare RCM - Deep knowledge of authorization workflows, payer guidelines, medical necessity documentation, and quality standards • Working Hours, Shifts & Location Details - Work Arrangement: Work From Office (WFO) - Location: Visakhapatnam (Vizag), Andhra Pradesh • Compensation & Benefits - Best Salary + Incentives - Cab Facility Available - Virtual Interview process - Immediate joiners preferred • Application Instructions - Interested candidates can send their updated CV via WhatsApp to the HR recruiter.