Authorization Specialist ( RCM)

Company Description

SCALE Healthcare is a dedicated platform that powers performance in the healthcare sector by combining deep operational expertise with cutting-edge technology to deliver measurable results. The company caters to the entire healthcare ecosystem, specializing in Multi-Site Operators (MSOs). SCALE Healthcare excels in fusing hands-on consulting with next-gen innovation, including AI-powered analytics and advanced workflow tools. Additionally, the SCALE Community offers a hub for healthcare leaders to connect, collaborate, and grow through exclusive events and platforms. SCALE Healthcare is headquartered in New York City and was ranked the #1 Fastest Growing Consulting Firm in the US by Consulting Magazine in 2022.

Role Description

This is a full-time on-site role for an Authorization Specialist in Revenue Cycle Management (RCM) located in Mohali district. The Authorization Specialist will be responsible for obtaining prior authorizations for medical procedures, verifying insurance coverages, and managing patient records. They will liaise with healthcare providers and insurance companies to ensure that all documentation is complete and accurate. Daily tasks include following up on pending authorizations, updating patient information, and working closely with other departments to ensure seamless operations.

Qualifications

• Experience in obtaining prior authorizations and insurance verification
• Proficiency in managing patient records and documentation
• Excellent communication and interpersonal skills for liaising with healthcare providers and insurance companies
• Strong organizational and time-management skills
• Knowledge of healthcare regulations and compliance
• Ability to work independently and collaboratively in an on-site setting
• A high school diploma or equivalent; certification in medical billing and coding is a plus

Please share your resume to ssangar@scale-healthcare.in or can call us at 8699557349