Job Description

Job Summary:
We are seeking a detail-oriented and proactive Prior Authorization Specialist with 1-3 years of experience in handling prior authorizations within the healthcare or medical billing domain. The ideal candidate will be responsible for processing authorization requests, verifying insurance coverage, coordinating with payers, and ensuring timely approvals.

Key Responsibilities:
Review and process prior authorization requests for medical procedures, treatments, and medications.
Verify patient insurance eligibility and benefits.
Communicate with insurance companies to obtain approvals or clarify information.
Document all authorization activities in internal systems accurately.
Coordinate with healthcare providers, patients, and insurance representatives for smooth workflow.
Follow up on pending authorization requests to ensure timely resolution.
Maintain compliance with payer-specific guidelines and organizational standards.
Work with denials and re-authorization cases as required

Required Skills & Qualifications:

1-3 years of experience in Prior Authorization, Medical Billing, RCM, or related healthcare domains.
Strong knowledge of insurance guidelines, CPT/ICD codes, and prior auth processes.
Excellent communication and coordination skills.Good analytical and problem-solving abilities.
Proficiency in MS Office and medical billing software.
Ability to work in a fast-paced environment with attention to detail

.Preferred Qualifications:
Experience working with US healthcare payers.
Familiarity with EMR/EHR systems

.Salary:
Competitive and based on experience.
Immediate Joiners Preferred

Job Types: Full-time, Permanent

Pay: ?17,507.55 - ?37,460.88 per month

Benefits:

Food provided
Application Question(s):

Are you available Virtual Interview ?
Work Location: In person