01Overview
Prior Authorisation Specialist
We are hiring Prior Authorization Specialists / Analysts to join our Revenue Cycle Management (RCM) team. You will be responsible for obtaining insurance prior authorizations for medical procedures, tests, and medicationsensuring smooth patient care and minimizing claim denials.
Responsibilities
Review clinical documents & payer requirements to identify authorization needs
Submit prior authorization requests via phone, portal, or fax
Track, monitor, and update authorization status in systems
Communicate approval/denial outcomes to providers & billing teams
Escalate delayed/denied cases to Team Lead/Manager
Maintain accuracy in documentation and authorization details
Qualifications
High School Diploma (Associates/Bachelors degree preferred)
13 years of experience in Prior Authorization / Medical Billing / RCM
Knowledge of insurance workflows, CPT/HCPCS codes, and medical terminology
Proficiency in payer portals, EHR/PMS systems, and MS Office
Excellent communication & organizational skills
Ability to work under deadlines in a high-volume environment
Shift & Work Environment
Night Shift (US Healthcare process)
Office-based role, fast-paced environment
Frequent interaction with insurance reps, providers, and RCM team
Job Types: Full-time, Permanent
Compensation: 25,000.00 - 35,000.00 per month
Benefits:
Leave encashmentProvident FundApplication Question(s):
How many years of experience do you have as an Prior Authorisation Specialist What is your current salary package and your expected salary Are you an Immediate joiner Please mention your notice period Your current location Work Location: In person .
