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PRIOR AUTHORIZATION SPECIALIST @ CREDENCE RM

0 Negotiable or Not Mentioned India, Pune 11 days ago in.credencerm.com 354 Views

We are currently hiring for the position of Prior Authorization Specialist to join our professional team in Pune, Maharashtra. The ideal candidate will have at least one year of direct experience specifically focused on initiating and monitoring medical authorizations. This role requires working onsite (Work From Office) and adhering to US shift timings. We offer a positive work environment with Saturdays and Sundays off to ensure a healthy work-life balance for all our employees. Candidates can expect a 30-35% hike on their current compensation package along with additional performance-based incentives. To support our staff's commute, we provide free transport services including both pickup and drop-off. Successful candidates will be responsible for navigating complex insurance requirements, managing patient data securely, and ensuring that all authorization tasks are completed accurately and in a timely manner to avoid service delays.

Key Requirements

Minimum 1+ years of experience in prior Authorization. Expertise in initiating and monitoring authorization requests. Ability to work onsite (WFO) in the Pune location. Flexibility to work consistent US shifts. Strong verbal and written communication skills in English. Proficiency in medical management software and EHR systems. Deep understanding of insurance provider requirements and policies. Knowledge of HIPAA regulations and patient data privacy standards. High level of accuracy and meticulous attention to detail. Analytical problem-solving skills to handle denied authorizations.
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MULTIPLE LEADERSHIP AND MANAGEMENT ROLES (SVP, VP, DIRECTOR, MANAGER) @ CREDENCE GLOBAL SOLUTIONS

0 Negotiable or Not Mentioned India, Pune 16 days ago credencerm.com 1168 Views

Credence Global Solutions is actively seeking experienced professionals to fill multiple Leadership and Management roles in Pune, Maharashtra. These opportunities span across diverse departments including Healthcare Revenue Cycle Management (RCM), Telecom, Collections, Information Technology, Artificial Intelligence, Technology Foundation, and Corporate Functions. The open positions include senior leadership roles such as SVP, VP, and AVP, as well as mid-level management roles such as Manager and Senior Manager. Specific functional areas of focus include Operations, Transition, Training, Medical Coding, HR, and Quality Assurance.

Successful candidates will be joining a dynamic global environment that serves the US healthcare sector and various other industries. The roles require a commitment to a 5-day work-from-office schedule in Pune. Candidates will be responsible for driving excellence in their respective domains, managing large teams, overseeing complex transitions, and ensuring that all departmental goals are met or exceeded. Applicants should submit their resumes to the designated email address, ensuring the subject line specifically mentions the role and department they are applying for.

Key Requirements

Extensive professional experience in leadership or management within the BPO, IT, or Healthcare RCM sectors. Proven expertise in managing operations, transitions, or corporate training programs. Deep understanding of Revenue Cycle Management or relevant industry-specific workflows. Strong leadership capabilities with a history of managing large and diverse teams. Excellent strategic thinking and analytical skills to drive organizational growth. High proficiency in verbal and written communication for stakeholder management. Ability to work full-time from the office in Pune, Maharashtra. Relevant academic qualifications such as an MBA or specialized professional certifications. Demonstrated ability to meet performance metrics and ensure service delivery quality. Experience in HR, Quality, or Medical Coding for specialized management tracks.
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