PractoPulse Healthcare Services Hiring Clinical Authorization Specialist in Hyderabad

PractoPulse Healthcare Clinical Authorization Specialist roles are open in Hyderabad. PractoPulse Healthcare Services is hiring a Clinical Authorization Specialist (Job ID 1037) in Hyderabad. The role is full-time and requires 0–2 years of experience, open to MBBS, BHMS, BAMS, BDS, MDS, BPT, MPT and Pharm D holders.

Job Details

  • Company: PractoPulse Healthcare Services
  • Job Title: Clinical Authorization Specialist
  • Job ID: 1037
  • Location: Hyderabad
  • Employment Type: Full-time
  • Work Mode: Work from office
  • Shift: Night shift
  • Experience: 0–2 years

Job Description

Evaluate patient conditions and submit prior authorization requests to insurers. Assess medical necessity, assign ICD-10 and CPT codes, review clinical notes and test results, handle denials and appeals, keep HIPAA and payer compliance, and prepare daily/weekly/monthly reports on authorization status, TAT, denials and approvals.

Key Responsibilities

  • Evaluate patient conditions and submit prior authorization requests to insurers.
  • Assess medical necessity.
  • Assign ICD-10 and CPT codes.
  • Review clinical notes and test results.
  • Handle denials and appeals.
  • Keep HIPAA and payer compliance.
  • Prepare daily/weekly/monthly reports on authorization status, TAT, denials and approvals.

Eligibility Criteria

  • Experience: 0–2 years
  • Eligible qualifications: MBBS from India or abroad (China, Russia, Ukraine etc.), BHMS, BAMS, BDS, MDS, BPT, MPT, Pharm D

Required Skills

  • MS Office (Word, Excel, PowerPoint)
  • Willingness to work night shifts from office

How to Apply

Apply online through the PractoPulse Healthcare Clinical Authorization Specialist listing on greytHR linked here. Apply only through the official notification / employer link given here.

CLICK HERE FOR THE ORIGINAL NOTIFICATION / APPLY ONLINE

Apply online through the PractoPulse greytHR job listing linked above.