– Prior Authorization (RCM)

Position: Prior Authorization Associate/Sr Associate

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 benefits.
- 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.
- Reliable 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).

📌 Prior Authorization Specialist (India)
🏢 DATAMATRIX TECHNOLOGIES PRIVATE
📍 India