Prior Authorisation Specialist

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 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

Job Types: Full-time, Permanent

Pay: ₹25,000.00 - ₹38,000.00 per month

Benefits:

• Health insurance
• 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 package and your expected salary?
• Are you an Immediate joiner ? Please mention your notice period?

Work Location: In person