Mumbai Maharashtra Verification specialist Jobs – 129 Open Jobs Today

Manager - Prior Authorization ( Mumbai)
Eclat Health Solutions —Mumbai, Maharashtra
- Management
- Analysis skills
- Team management
Quick apply
2h
Deputy Application Manager IVD
Mindray —Mumbai, Maharashtra
- Software troubleshooting
- Master's degree
- Bachelor's degree
Medical Content Writer
Crypto Mize —Dive, Maharashtra
- Full-time
5d
Developer Evangelist - Integrations (APAC)
Xsolla —Mumbai, Maharashtra
- Full-time
- Remote
- Public speaking
- English
- Presentation skills
Quick apply
Manipuri Writer
Crypto Mize —Dive, Maharashtra
- Full-time
5d
Developer Evangelist - Community (APAC)
Xsolla —Mumbai, Maharashtra
- Full-time
- Remote
- Public speaking
- English
- Travel
Quick apply
Senior Site Engineer
HR Yaar —Andheri, Mumbai, Maharashtra
- Full-time
- AutoCAD
- Hospitality
- Management
Quick apply
BIM Engineer - Acoustics
WSP —Mumbai, Maharashtra
- Hybrid work
- AutoCAD
- English
- Master's degree
Senior CAD Designer - Piping (Open Plant & Micro Station)
WSP —Mumbai, Maharashtra
- Hybrid work
- AutoCAD
- CAD
- Computer literacy
Senior Reservoir Engineer
bp —Mumbai, Maharashtra
- Full-time
- Master's degree
- Travel
- Agile
3d
Senior Engineer - Structures (Oil & Gas)
WSP —Mumbai, Maharashtra
- Hybrid work
- Civil engineering
- Computer literacy
- English
CAD Designer - Structures (Oil & Gas)
WSP —Mumbai, Maharashtra
- Hybrid work
- AutoCAD
- English
- Agile
CAD Designer - Piping
WSP —Mumbai, Maharashtra
- Hybrid work
- AutoCAD
- CAD
- Computer literacy
BIM Architect -Fire & Life Safety
WSP —Mumbai, Maharashtra
- Hybrid work
- AutoCAD
- English
- Microsoft Office
Senior Architect - Landscape
WSP —Mumbai, Maharashtra
- Hybrid work
- English
- Master's degree
- Project management
Pharmacist
Crypto Mize —Dive, Maharashtra
- Full-time
- Bachelor's degree
- Accounting
- Teaching experience
5d
Senior Electrical & MEP Design Consultant
Facility Performance Consulting Limited —Mumbai, Maharashtra
- Full-time
- Hybrid work
- Master's degree
- Electrical experience
- Bachelor's degree
Quick apply
Principal Lattice Tower Detailer
WSP —Mumbai, Maharashtra
- Full-time
- Hybrid work
- AutoCAD
- Bachelor's degree
- HVAC
2h

More jobs to discover

Find similar jobs that you might be interested in.

Deputy Application Manager IVD
Mindray —Mumbai, Maharashtra
The role ensures correct product usage, customer satisfaction, and effective adoption of IVD solutions in laboratories. Good documentation and reporting skills.

I want to receive the latest job alerts for verification specialist in mumbai maharashtra

By signing in to your account, you agree to SimplyHired's Terms of Service and consent to our Cookie and Privacy Policy.

Explore jobs in more locations

verification specialist jobs near mumbai maharashtra

Architect jobs in Mumbai, Maharashtra

CAD Designer jobs in Mumbai, Maharashtra

Deputy Manager jobs in Mumbai, Maharashtra

Senior Structural Engineer jobs in Mumbai, Maharashtra

Senior CAD Designer jobs in Mumbai, Maharashtra

Engineer jobs in Mumbai, Maharashtra

Petroleum Engineer jobs in Mumbai, Maharashtra

Architect Government Job jobs in Karnataka

Architect jobs in Gurugram, Haryana

Work From Home Architect jobs in Bengaluru, Karnataka

Ai Architect jobs in Bengaluru, Karnataka

Government Architect jobs in Madhya Pradesh

Salesforce Architect jobs in Hyderabad, Telangana

Reliance Industries Limited , Architect jobs in Mumbai, Maharashtra

Language Specialist, Gujarati jobs in Mumbai, Maharashtra

Prior Authorization Specialist jobs in Remote

It Support Specialist jobs in Kerala

Content Writer jobs in Pune, Maharashtra

Content Writer Work From Home jobs in Mira Road, Mumbai, Maharashtra

Seo Content Writer jobs in Remote

Manager - Prior Authorization ( Mumbai)

Eclat Health Solutions -
Mumbai, Maharashtra

Quick apply

Job details

2 hours ago

Qualifications

Revenue cycle management
Management
Analysis skills
Team management
CPT coding
Billing
Communication skills

Full job description

Job Title: Manager - Prior Authorization

Location: Mumbai

Experience: 10+ Years (Minimum 1 Year as Operations Manager)

Job Summary

We are seeking an experienced Prior Authorization Manager with strong expertise in managing end-to-end Prior Authorization operations across Physician Billing specialties. The ideal candidate will lead large teams, ensure timely authorization approvals, optimize workflows, and drive operational excellence while maintaining compliance with payer and client requirements.

Key Responsibilities

Lead and manage a team of Prior Authorization Specialists handling multiple physician specialties
Oversee end-to-end Prior Authorization processes, including eligibility verification, authorization submissions, follow-ups, and approvals
Ensure timely submission and tracking of authorization requests to prevent delays in patient care and claim reimbursement
Manage escalations related to authorization denials, medical necessity requirements, and payer-specific guidelines
Monitor team performance against KPIs, SLAs, quality metrics, and productivity targets
Identify process gaps and implement operational improvements to enhance efficiency and turnaround times
Provide floor support, coaching, training, and mentoring to team members
Ensure adherence to client requirements, payer policies, HIPAA, and compliance standards
Collaborate with providers, clinical teams, and payer representatives to resolve authorization-related issues
Prepare and present daily, weekly, and monthly performance reports and operational dashboards

Required Skills & Expertise

Strong domain knowledge in Prior Authorization for Physician Billing
Hands-on experience with authorization submissions, follow-ups, and denial resolution
Good understanding of CPT, ICD-10, HCPCS codes, modifiers, and medical necessity criteria
Experience working with Medicare, Medicaid, and Commercial payers
Strong knowledge of payer authorization requirements, turnaround times, and escalation processes
Ability to analyze authorization trends and implement corrective actions
Excellent team management, stakeholder engagement, and client communication skills
Strong analytical, reporting, and problem-solving abilities

Preferred Qualifications

Prior experience managing a team of 100+ Prior Authorization Specialists
Exposure to client interactions, business reviews, and escalation management
Experience with multiple specialties such as Radiology, Oncology, Cardiology, Orthopedics, Pain Management, and Surgery
Knowledge of Revenue Cycle Management (RCM) processes and payer portals

Notice Period: Immediate to 30 Days Preferred.

Quick apply

Refine Your Search

verification specialist jobs in mumbai maharashtra

Manager - Prior Authorization ( Mumbai)

Deputy Application Manager IVD

Medical Content Writer

Developer Evangelist - Integrations (APAC)

Manipuri Writer

Developer Evangelist - Community (APAC)

Senior Site Engineer

BIM Engineer - Acoustics

Senior CAD Designer - Piping (Open Plant & Micro Station)

Senior Reservoir Engineer

Senior Engineer - Structures (Oil & Gas)

CAD Designer - Structures (Oil & Gas)

CAD Designer - Piping

BIM Architect -Fire & Life Safety

Senior Architect - Landscape

Pharmacist

Senior Electrical & MEP Design Consultant

Principal Lattice Tower Detailer

More jobs to discover

I want to receive the latest job alerts for verification specialist in mumbai maharashtra

Explore jobs in more locations

Job Title: Manager - Prior Authorization

Job Summary

Key Responsibilities

Required Skills & Expertise

Preferred Qualifications

Jobseeker tools

Employer Tools

Browse

Stay Connected