Job Overview:
As Prior Authorization Associate, you will be responsible for managing the prior authorization process for medical services. This position involves working closely with healthcare providers, insurance companies, and patients to obtain the necessary approvals before services are rendered. The Prior Authorization Associate reviews medical records, submits authorization requests, and follows up on pending approvals.
Job Responsibilities:
Execute assigned tasks related to benefit verification and authorization with a high level of accuracy and adherence to set guidelines, service level agreements (SLAs), and quality policies.
Report any difficulties, challenges, or exceptions encountered during task execution to the Team Lead, ensuring transparent communication and resolution of issues.
Collaborate with team members to enhance work management, learning opportunities, and overall performance standards.
Maintain consistent performance standards, ensuring that individual contributions effectively support the team's goals and objectives.
Stay informed and updated on the latest healthcare policies, insurance procedures, and regulatory compliance requirements relevant to benefit verification and authorization.
Participate in training and development sessions to continuously improve technical skills and knowledge in the field of benefit verification and authorization.
Contribute to a positive and collaborative team environment, supporting peers and participating in joint efforts to optimize team efficiency and effectiveness.
Qualifications:
Bachelor’s Degree or Above
Fresh candidates are encouraged to apply, having Customer Services experience is a plus.
Good understanding of full life cycle revenue cycle management.
Ability to effectively initiate and manage multi-disciplined projects.
Good communication and analytical skills.
Strong professional demeanor with the inherent quality to rapidly establish credibility and rapport with clinicians, managers, customers and external groups.
Ability to identify opportunities and solutions for process improvement along with the skills of planning and implementation of these solutions.
Compensation and Benefits:
💰 Financial:
Competitive salary and bi-annual bonus.
Fast track and uncapped career growth for high performers.
Company-sponsored vehicle financing (car and bike).
Interest-free loans.
Provident Fund: CureMD matches up to 8% of your base salary.
🏥 Health and Wellness:
In-house clinic with a team of certified male and female doctors with 24/7 telemedicine service.
Hospital treatment monitoring by company doctors.
Comprehensive health coverage for your immediate family (outpatient, inpatient, maternity and parents' inpatient).
Exclusive health benefits and discounts at top class clinics and labs.
🤝🏻 Supportive Workplace:
Pick-up and drop-off services for female employees.
In-house daycare facility.
In-house gym and recreational area to unwind.
📚 Continued Learning:
Company-sponsored trainings, workshops, development programs and retreats.
Paid specialized trainings/certifications.
The Difference You’ll Make:
At CureMD, every role, whether senior or junior, plays a pivotal part in transforming healthcare. By joining our innovative team, you’ll contribute to groundbreaking technology that directly impacts patient care, enhances healthcare efficiency, and saves lives globally. Your skills and passion will drive meaningful change, helping us deliver solutions that support healthcare professionals in critical, real-time settings. Together, we’re not just advancing technology — we’re making a tangible difference in people’s lives. Together, let’s save lives.
Skills Required
- Bachelor's degree or above
- Understanding of full life cycle revenue cycle management
- Ability to initiate and manage multi-disciplined projects
- Good communication and analytical skills
- Professional demeanor and ability to establish credibility with clinicians and external groups
- Ability to identify and implement process improvement opportunities
- Customer service experience
What We Do
CureMD is an award-winning network of health information management systems and services, offering certified EMR, practice management, patient portal and medical billing to help accelerate adoption and Meaningful Use qualification-driving outcomes and subsidy payments to maximize value and returns. CureMD's advanced web technology and award winning usability facilitate quality decision making, streamline operations and ensure compliance. CureMD All-in-One EMR solution is designed to personalize care delivery, enhance quality and patient safety, optimize efficiency and minimize cost. Our integrated platform includes practice management, electronic health records, patient portal and mobile care solution for medical practices of all sizes.
