Authorization Executive Job at Credence Resource Management – Pune (200 Openings) | Authorization Executive job in pune 2025
Job Overview Authorization Executive job in pune 2025
Credence Resource Management is hiring Authorization Executives in Pune for immediate joiners. This is a full-time, permanent role in the BPO/Healthcare RCM (Revenue Cycle Management) sector. Candidates with 1-4 years of experience in Prior Authorization (US Healthcare) are preferred. The job involves submitting and tracking authorization requests, coordinating with insurance providers, and ensuring timely approvals.
📍 Location: Pune, Maharashtra
🏢 Company: Credence Resource Management (Part of Credence Global Solutions)
📅 Openings: 200
📧 Contact HR:
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Nandani Rohra – nandani.rohra@in.credencerm.com / 7709176585
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Fatima Tamboli – fatima.tamboli@in.credencerm.com / 8956252023
Job Description & Key Responsibilities Authorization Executive job in pune 2025
📌 Job Role: Authorization Executive
The position focuses on Prior Authorization in US Healthcare RCM. Key responsibilities include:
✔ Submitting and tracking prior authorization requests to insurance companies and workers’ compensation carriers.
✔ Communicating with providers, adjusters, and case managers to ensure approvals.
✔ Maintaining accurate documentation and reports for authorization processes.
✔ Resolving denied or delayed authorizations by following up with relevant stakeholders.
✔ Experience in initiating Auth (Authorization) is a must.
📌 Eligibility & Skills Required Authorization Executive job in pune 2025
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Experience: 1-4 years in Prior Authorization (US Healthcare).
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Education: Graduation not mandatory but preferred.
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Key Skills:
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Prior Authorization
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US Healthcare RCM
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Insurance Claims Processing
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Documentation & Reporting
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🔍 How to Prepare for the Interview Authorization Executive job in pune 2025?
📌 Interview Preparation Tips for BPO/Non-Voice/Backoffice Roles
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Understand the Job Role:
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Research Prior Authorization processes in US healthcare.
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Familiarize yourself with terms like RCM, Insurance Claims, Denial Management.
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Resume Preparation:
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Highlight prior authorization, insurance follow-up, or medical billing experience.
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Mention communication skills, attention to detail, and proficiency in healthcare software.
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Common Interview Questions:
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“Explain your experience with Prior Authorization.”
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“How do you handle denied claims?”
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“Describe a time you worked under tight deadlines.”
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Success Tips for Face-to-Face Interviews:
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Dress professionally (business casual).
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Showcase problem-solving skills with real-life examples.
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Ask questions about workflow, team structure, and growth opportunities.
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🏢 About Credence Resource Management
📌 Company Overview
Credence Resource Management is a Dallas-based company specializing in Receivables Management, Healthcare RCM, and BPO services. It serves major US healthcare providers, including:
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Medical transport services
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Emergency physicians
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Diagnostic laboratories
📌 Group Companies Under Credence Global Solutions
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Credence Resource Management, LLC (Receivables Management & BPO)
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Innoval Global Solutions & Medstat Inc (Healthcare RCM)
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iValuate Global Technologies (Tech platforms for compliance & productivity)
📌 Pune Office Address Authorization Executive job in pune 2025
📍 Credence Resource Management
S No. 3/1, 2nd Floor, E-Park,
South Block, Kharadi Knowledge Park MIDC,
Kharadi, Pune, Maharashtra, India
📌 Employee Strength
The company has a large workforce across India and the US, with significant operations in Pune.
💡 What is BPO & Why is it Important?
📌 Understanding the BPO Industry
BPO (Business Process Outsourcing) involves outsourcing non-core business operations (like customer support, back-office work, RCM) to third-party vendors.
📌 How BPO Works in Healthcare RCM?
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Insurance Claims Processing – Handling prior authorizations, billing, and denials.
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Revenue Cycle Management (RCM) – Ensuring healthcare providers get paid efficiently.
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Non-Voice Backoffice Roles – Data entry, documentation, and report generation.
📌 Role of BPO in Credence Resource Management
Credence specializes in Healthcare RCM BPO, helping US-based providers streamline:
✔ Prior Authorization
✔ Claims Processing
✔ Denial Management
✔ Payment Posting
🚀 Success Tips for BPO/Backoffice Jobs
✅ Improve Typing Speed & Accuracy – Essential for data entry roles.
✅ Learn Basic Healthcare Terminologies – Useful for medical billing jobs.
✅ Develop Multitasking Skills – Handle multiple authorization requests efficiently.
✅ Stay Updated with RCM Trends – Follow US healthcare compliance changes.
📌 Final Advice for Applicants Authorization Executive job in pune 2025
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Apply only if you meet the 1+ year experience criteria.
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Customize your resume to highlight Prior Authorization experience.
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Follow up with HR via email/phone after applying.
🔗 Apply Now: Send your resume to HR Nandani / HR Fatima (emails above).