24 Sep
SW
Chennai
Prior Authorization Specialist / Analyst – Night Shift
Location: Tambaram West, Chennai
Employment Type: Full-time | Work from Office
Job Overview
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
Why Join Us?
Growing healthcare RCM company
Exposure to U.S. healthcare payer systems
Career growth & training opportunities
Job Types: Full-time, Permanent
Pay: ₹25,000.00 - ₹35,000.00 per month
Benefits:
- 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 and expected salary?
- Where are you located? Are you willing to relocate to Chennai?
📌 Prior Authorisation Analyst
🏢 SW
📍 Chennai
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