Position Summary

We are seeking an experienced Patient Access, Prior Authorization & Revenue Cycle Specialist to support U.S.-based medical practices. This combined position will manage the patient journey from appointment scheduling and insurance verification through claim follow-up, denial resolution, and payment collection.

The ideal candidate will have experience working with U.S. healthcare providers, insurance companies, electronic medical records, and medical billing systems. The candidate must be organized, professional, detail-oriented, and comfortable communicating with patients, medical offices, insurance representatives, and billing teams.

Key Responsibilities

Patient Access and Scheduling
- Answer incoming patient calls professionally and promptly.
- Schedule, reschedule, and cancel patient appointments.
- Register current patients and update demographic and insurance information.
- Confirm appointments and follow up with patients regarding missing information.
- Assist patients with general questions about appointments, referrals, and clinic procedures.




- Document all patient communication accurately in the electronic medical record.

Insurance Verification and Prior Authorization
- Verify insurance eligibility, benefits, deductibles, copayments, coinsurance, and coverage limitations.
- Confirm whether referrals or prior authorizations are required.
- Submit prior authorization requests for office visits, diagnostic testing, procedures, surgeries, medications, and other services.
- Follow up with insurance companies regarding pending authorizations.
- Track authorization expiration dates, approved services, and visit limitations.
- Communicate authorization requirements and outcomes to patients and clinical staff.
- Maintain detailed documentation of all insurance calls, reference numbers, and authorization decisions.

Medical Billing and Claims Follow-Up
- Review claims for completeness and accuracy before submission.
- Identify missing information, c

📌 Insurance verification (Ahmedabad)
🏢 Allchoresdone
📍 Ahmedabad