Job Description

Prior Authorization Specialist / Analyst - Night Shift

Location:

Tambaram West, Chennai

Employment Type:

Full-time | Work from Office

Job Overview

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 medications--ensuring 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 (Associate's/Bachelor's degree preferred) 1-3 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

Why Join Us?

Growing healthcare RCM company
Exposure to U.S. healthcare payer systems
Career growth & training opportunities

Job Types: Full-time, Permanent

Pay: ₹25,000.00 - ₹35,000.00 per month

Benefits:

Leave encashment Provident Fund
Application Question(s):

How many years of experience do you have as an Prior Authorisation Specialist? What is your current salary and expected salary? * Where are you located? Are you willing to relocate to Chennai?