Team Lead - Prior Authorization (Bangalore)

Lead and manage Prior Authorization operations. Ensure timely and accurate submission of authorizations. Handle team performance, reviews, and escalations. Participate in client calls and ensure SLA compliance. Track key metrics like approval rates and turnaround time. Skills Required: Minimum 6+years of experience in US healthcare processes, with at least 1 years in a Team Lead role (on paper) for Prior Authorization Strong knowledge of Prior Authorization workflows, payer guidelines, and pre-cert requirements Add-on experience in Eligibility and Benefits Verification is a strong advantage Excellent communication and interpersonal skills must be comfortable leading client discussions Strong team management, performance tracking, and escalation handling skills Familiarity with EHR/EMR systems and payer portals. Good to Have: Knowledge of insurance plans (Commercial, Medicare, Medicaid) Experience in handling multi-specialty authorizations (Radiology, Surgery, DME, etc.) Exposure to quality metrics and reporting tools Understanding of HIPAA and compliance regulations Graduation Mandatory. Location: Hyderabad (On-site) Shift: Night Shift Reach Pradeep 9030365423 Mail ID - pradeep.varanasi@omegahms.com .