Job
Description
We're looking for an organized and detail-oriented individual to join us as an Intake or Authorization Specialist under our Medical Billing and RCM (Revenue Cycle Management) team. As the first point of contact for patients, you'll play a crucial role in ensuring a smooth and accurate intake or authorization process. Your main responsibilities will include verifying insurance, checking eligibility & obtaining authorizations for medical services, leading to acceptance of patient or resumption of care for medical services. Responsibilities: Insurance Verification & Prior Authorization: Verify patient eligibility, coverage, and benefits for requested medical services. Obtain prior authorization for procedures, diagnostic tests, medications, and treatments from insurance providers. Communicate authorization status and requirements to physicians, patients, and medical staff. Claims & Denial Management: Track and follow up on pending authorizations to prevent delays in patient care. ✅ Technology & Systems: Utilize EMR/EHR systems (e.g., Epic, Cerner, Athenahealth) and payer portals for authorization submissions. Maintain detailed records of authorization requests, approvals, and denials. Handle authorization denials, appeals, and reconsiderations efficiently. Coordinate with billing and coding teams to resolve claim-related issues. Qualifications: Bachelor's degree in any field is required. Previous experience in medical billing process preferred. Prior experience in US/UK/AUS voice or blended process preferred. Familiarity with medical terminology, billing and coding procedures, insurance guidelines, and reimbursement practices is preferred Understanding of healthcare insurance processes. Strong communication and interpersonal skills, with an acumen to understand and learn a product and business. Commitment to maintaining confidentiality and handling sensitive information with discretion. Ability to multitask and prioritize workload effectively. Job type: Work from Office Job Location: IT Park, Chandigarh Shift Timing: This position will require working in a fixed night shift (US PST/ EST shift). Why Join Us: We offer ample opportunities for professional growth and development along with a competitive salary package. About Company : Proelio Technologies is offering comprehensive support functions to PathWell Health in the United States (www.pathwellhealth.com). Our dedicated teams, including HR, Intake, QA, RCM, IT Support, and FP&A, are actively working to assist PathWell Health in their operations across Connecticut, Virginia, West Virginia, and California. Job Type: Full-time Pay: ₹300,000.00 - ₹650,000.00 per year Ability to commute/relocate: Chandigarh, Chandigarh: Reliably commute or planning to relocate before starting work (Preferred) Education: Bachelor in any field Experience: total work: Minimum 2 -3year (Preferred) Shift availability: Night Shift (Preferred) Overnight Shift (Preferred) Work Location: In person Job Type: Full-time Pay: ₹30,000.00 - ₹50,000.00 per month Benefits: Health insurance Leave encashment Paid sick time Paid time off Provident Fund Experience: total work: 2 years (Required) Work Location: In person
