Job Description

Job Title: Prior Authorisation Specialist - US Healthcare

Location:

Mohali (Onsite)

Shift:

Night Shift (US Hours)

Experience:

1 year - 3 years (Prior Authorisation / Insurance Verification / RCM)

Employment Type:

Full-time

Job Overview

We are looking for an experienced

Prior Authorisation Specialist

to join our growing U.S. Healthcare RCM team.

The role involves obtaining insurance authorisation for medical procedures, coordinating with insurance payers, and ensuring complete and accurate documentation in EMR systems.

Key Responsibilities

Perform

prior authorisation

for procedures, tests, and medications. Contact

insurance payers

via portal or phone to verify eligibility and requirements. Document all communication and outcomes accurately in EMR systems. Submit clinical documents, CMNs, and medical justification required by payers. Coordinate with providers, facilities, and ordering physicians as needed. Ensure compliance with HIPAA and organisational confidentiality protocols. Meet productivity and accuracy targets within deadlines.

Required Skills & Experience

6 months+ experience in

Prior Authorisation / Insurance Verification / DME / Medical Scribing / US Calling

(RCM domain preferred)
Strong understanding of:

Prior authorisation workflow Eligibility & benefits verification ICD/CPT codes (preferred) Strong verbal and written communication skills. Ability to multitask and work effectively in a fast-paced environment.

Education

Graduate in any stream Medical / life science background preferred (not mandatory)

What We Offer

Competitive salary + performance-based incentives Growth opportunities within the U.S. Healthcare domain Supportive team culture and training opportunities

Interested? Apply Now!

Send your resume to: hr@5tekmedical.com

90567-10352 (WhatsApp / Call)

or comment / DM directly on LinkedIn.

Job Types: Full-time, Permanent

Benefits:

Health insurance Paid time off Provident Fund
Work Location: In person