Experience:
2+ Years Work Mode: Work From Home (WFH) Joining: Immediate Joiners Preferred Job Requirements
• Minimum 2+ years of experience in US Healthcare RCM – Prior Authorization.
• Candidates must have experience in multiple medical specialties, including:
• Radiology
• Cardiology
• Dermatology
• Ophthalmology
• Orthopaedics Required Service Knowledge Candidates should have hands-on experience in prior authorization for:
• MRI / CT scans
• Surgical Procedures
• Physical Therapy (PT) / Occupational Therapy (OT)
• Durable Medical Equipment (DME)
• Medications and Injections
• Workers' Compensation (WC) Roles & Responsibilities
• Verify insurance eligibility and advantages.
• Submit and process prior authorization requests.
• Work on various insurance web portals.
• Handle insurance calls for authorization status and requirements.
• Follow up on pending authorizations.
• Coordinate with insurance companies and healthcare providers.
• Ensure timely authorization approvals and maintain accurate documentation.
• Understand payer-specific authorization guidelines and requirements. Mandatory Requirements
• Good knowledge of US healthcare insurance processes.
• Hands-on experience with multiple insurance web portals.
• Excellent communication skills and experience handling insurance calls.
• Ability to manage multiple specialties and service types.
• Must have a personal laptop or desktop computer.
• Stable high-speed internet connection.
• Power backup is mandatory for WFH. Preferred Candidates: Immediate joiners with relevant US Healthcare Prior Authorization experience. Work
Location:
Remote / Work from Home (USA Time Zone EST/PST).