Job Title: Prior Authorisation Specialist - US Healthcare

Location: Mohali (Onsite)

Shift: Night Shift (US Hours)

Experience: 1 year - 3 years (Prior Authorisation / RCM)
Employment Type: Full-time

Job Overview

We are looking for an experienced Prior Authorisation Specialist to join our growing U.S. Healthcare RCM team.

The role involves obtaining insurance authorisation for medical procedures, coordinating with insurance payers, and ensuring complete and accurate documentation in EMR systems.

Key Responsibilities
Perform prior authorisation for procedures, tests, and medications.
Contact insurance payers via portal or phone to verify eligibility and requirements.
Document all communication and outcomes accurately in EMR systems.
Submit clinical documents, CMNs, and medical justification required by payers.
Coordinate with providers, facilities, and ordering physicians as needed.
Ensure compliance with HIPAA and organisational confidentiality protocols.




Meet productivity and accuracy targets within deadlines.

Required Skills & Experience
6 months+ experience in Prior Authorisation US Calling (RCM domain preferred)

Solid understanding of:
Prior authorisation workflow
Eligibility & benefits verification
ICD/CPT codes (preferred)
Strong verbal and written communication skills.
Ability to multitask and work effectively in a fast-paced workplace.

Education
Graduate in any stream
Medical / life science background preferred (not mandatory)

What We Offer
Market-competitive salary + performance-based incentives
Growth opportunities within the U.S. Healthcare domain
Supportive team culture and training opportunities

Send your resume to:
Job Types: Full-time, Permanent

Benefits:
Health insurance
Paid sick time
Provident Fund

Work Location: In person

📌 Prior Authorisation Specialist Sahibzada Ajit Singh Nagar
🏢 tru Health Now
📍 Sahibzada Ajit Singh Nagar