Utilization Management Specialist/Prior Authorization Specialist Jobs Opening in Steinway Consulting at Perungudi, Chennai
Job Description
About our client:
SHAI is a technology-enabled service provider revolutionizing Revenue Cycle Management (RCM) in the US healthcare sector by combining proprietary technology, expertise, and efficient processes. We are committed to excellence and support diverse healthcare organizations in navigating complex financial landscapes.
Our end-to-end RCM services optimize revenue, reduce denials, and ensure compliance for medical billing companies, physician groups, and hospitals.
With over 30 years of experience, SHAI is known for trust and successful partnerships in the US healthcare sector, embracing technology to drive healthcare financial success.
Nursing Graduates for Utilization Management Specialist/Prior Authorization Specialist
Job Title: Utilization Management Specialist/Prior Authorization Specialist
Job Description:
We are looking for a motivated and detail-oriented Utilization Management Specialist/Prior Authorization Specialist to join our team. As a fresher In this role, you will help review medical information to ensure that healthcare services are necessary and follow best practices. You will support the approval of healthcare services to ensure they are cost-effective and meet patient needs.
Preferred Skills
ü Familiarity with MCG/Inter Qual Guidelines is a plus.
ü Keep up-to-date with regulations and maintain organized records of all activities.
ü Experience with Medicaid, Medicare, and Managed Care is helpful.
ü Strong knowledge of anatomy, physiology, and medical terminology.
ü Proficient in MS Office applications.
ü Excellent communication skills and ability to work both independently and in a team.
ü Strong analytical and problem-solving skills.
Key Functions:
ü Review outpatient procedures, inpatient admissions, home health, and behavioral health services to check if they are necessary.
ü Work with providers and medical directors to get prior authorization and plan for case reviews when needed.
ü Collaborate with clinical staff to ensure appropriate care and resource use.
ü Participate in quality improvement projects and help develop clinical guidelines.
ü Monitor and report on utilization trends to management.
Qualifications :
Candidates with a Bachelor's Degree in Nursing are eligible to apply
Freshers also can apply.
Candidates already having work experience in Hospital Field is added advantage.
Preference : Female/ Male Candidates can apply.
Shift : Day Shift 8AM to 5PM / Night Shift 9 PM TO 6 AM
Location: Chennai, OMR
No. of Openings: 5
Perks and Benefits
Five Days of working
Saturday and Sunday fixed Week off
Double Wages (If working on Saturday/Sunday)
Both 2 way Cab facility Available for only Night Shift.
More information about this Utilization Management Specialist/Prior Authorization Specialist Job
Please go through the below FAQs to get all answers related to the given Utilization Management Specialist/Prior Authorization Specialist job
- What are the job requirements to apply for this Utilization Management Specialist/Prior Authorization Specialist job position?
- Ans: A candidate must have a minimum of 0 to 1 year experience as an Utilization Management Specialist/Prior Authorization Specialist
- What is the qualification for this job?
- Ans: The candidate can be a Graduate from any of the following: BSc
- What are the salary requirements for this job?
- Ans: The salary range is between 18000 and 22000 Monthly. The Salary will depend on the interview. This Utilization Management Specialist/Prior Authorization Specialist is a Full Time in Chennai.
- What is the hiring Process of this job?
- Ans: The hiring process all depends on the company. Normally for an entry level, hiring the candidate has to go for Aptitude, GD (If they look for communication),Technical test and face to face interviews.
- This Utilization Management Specialist/Prior Authorization Specialist is a work from home job?
- Ans: No ,its not a Work from Home Job.
- How many job vacancies are opening for the Utilization Management Specialist/Prior Authorization Specialist position?
- Ans: There are immediate 5 job openings for Utilization Management Specialist/Prior Authorization Specialist in our Organisation.
Job Particulars
About Company
Chennai 
0 to 0.6 Years 
Salary not disclosed 
Diploma, BSc
Chennai
Freshers
Salary not disclosed
BA, BSc, BSW, Other Graduate(Other Graduate)
Chennai
3+ Years
Salary not disclosed
B.Pharm, BA, BDS, BSc, BVSc, BFA, BAMS, BHMS, BUMS, Other Graduate
Chennai
Freshers
Salary not disclosed
B.Pharm, BDS, BE/B.Tech, BHM, BSc, ME/M.Tech, MBBS, BAMS, BHMS, BPT, MPT, MPHA, MRM
Chennai
Freshers
Salary not disclosed
BSc, Other Graduate
Chennai
0 to 3 Years
Salary not disclosed
BSc, ANM
Chennai
0 to 3+ Years
Salary not disclosed
BSc
Chennai
Freshers
Salary not disclosed
BPT
Chennai, Coimbatore
Freshers
Salary not disclosed
Diploma, 10th Pass (SSC), 12th Pass (HSE), Upto 9th Std, Other Course
Chennai
0 to 2 Years
Salary not disclosed
BPT
Anantapur, Hyderabad, Chennai
Freshers
Salary not disclosed
ANM 
