Benefits & Authorization Specialist (RCM)

Department: Revenue Cycle Management (RCM)

Experience: Freshers / 2–3 Years

Shift: 7: 00 PM – 4: 00 AM IST (Night Shift - Mandatory)

Working Days: 5 Days working (Rotational Week-offs)

We are looking for a dedicated and detail-oriented Benefits & Authorization Specialist to join our RCM team. The ideal candidate will handle patient insurance verification, secure prior authorizations, and coordinate with internal teams to ensure smooth and timely healthcare billing operations.

Verify patient insurance eligibility and benefits accurately through payer portals or direct calls.
Prior Authorizations: Obtain prior authorizations for medical procedures, surgeries, and diagnostic services in a timely manner.
Follow-Ups:



Proactively follow up on pending authorizations and renewals to prevent claim denials.
Team Coordination: Collaborate effectively with billing and clinical teams for seamless processing.
Education: Any Graduate (B. Com, BBA, B. Communication: Good verbal and written communication skills in English.
Basic computer proficiency (MS Office) and valuable typing speed.
Bonus Points: Prior RCM experience or basic knowledge of medical terminology is a strong plus (Freshers with great aptitude are also welcome).
Shift & Other Requirements:

~ Night Shift: Must be comfortable working the 7:00 PM – 4:00 AM IST shift consistently.

📌 Benefits and Billing Officer (Mumbai)
🏢 EducoHire
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