Find Your Next Job
Authorization
Posted on Aug. 15, 2025
- Pb, India
- 0 - 0 USD (yearly)
- Full Time
Tailor Your Resume for this Job
Job Title: Authorization Specialist – Revenue Cycle Management (RCM)Job Summary:
The Authorization Specialist plays a vital role in the revenue cycle process by ensuring that prior authorizations are obtained and verified for medical procedures, diagnostic tests, or specialty services. The specialist collaborates with healthcare providers, insurance companies, and patients to reduce delays and denials in reimbursement.
Key Responsibilities:
- Obtain prior authorizations for medical services, procedures, surgeries, imaging, and referrals from insurance companies.
- Confirm authorization requirements based on the patient’s insurance plan and the type of service being rendered.
- Submit authorization requests through payer portals, phone calls, or fax as required.
- Track the status of submitted authorization requests and follow up with payers until a determination is received.
- Communicate authorization status to scheduling, clinical, and billing departments.
- Document all authorization activity in the EHR or practice management system accurately and timely.
- Ensure compliance with insurance requirements and healthcare regulations (HIPAA, CMS, etc.).
- Respond to payer denials and re-submit or escalate requests when necessary.
- Maintain up-to-date knowledge of payer policies and authorization criteria.
Qualifications:
- High school diploma or equivalent required; associate degree or healthcare certification preferred.
- Minimum 1–3 years of experience in medical prior authorization, utilization review, or healthcare billing.
Please share your resume to ssangar@scale-healthcare.in or can call us at 8699557349
Job Type: Full-time
Pay: ₹200,000.00 - ₹500,000.00 per year
Work Location: In person
Tailor Your Resume for this Job
Share with Friends!
Similar Jobs
YOGI DENTAL CENTER
Dental Receptionist(Dental Insurance Ver Exp Req)
Dental Receptionist (Dental Insurance Verification Experience Required)**We are seeking a friendly,…
Full Time | Orange, United States of America
Apply 7 hours, 16 minutes ago
Quality Assurance Specialist - 60026087
Job Responsibilities The mission of the SC Commission for the Blind (SCCB), established in 1966, i…
Full Time | Sc, United States of America
Apply 2 days, 7 hours ago
Patient Liaison-Imaging Full Time Days
Company Description At Northwestern Medicine, every patient interaction makes a difference in culti…
Full Time | Orland park, United States of America
Apply 2 days, 7 hours ago
Manager, Partnership Marketing It
The Company PayPal has been revolutionizing commerce globally for more than 25 years. Creating inno…
Full Time | Milano, Italy
Apply 3 days, 4 hours ago
Vp, Data Science
Who we are: Through a partnership-based approach, Coterie helps insurance professionals unlock unta…
Full Time | Remote, United States of America
Apply 3 days, 7 hours ago
Sr Manager, Performance Marketing
The Company PayPal has been revolutionizing commerce globally for more than 25 years. Creating inno…
Full Time | Milano, Italy
Apply 4 days, 5 hours ago
Manager, Product Growth
The Company PayPal has been revolutionizing commerce globally for more than 25 years. Creating inno…
Full Time | Milano, Italy
Apply 4 days, 5 hours ago
Guest Service Agent/Night Auditor
Part Time - Guest Services Representative - SUNDAY AVAILABILITYAward Winning Comfort Suites is look…
Part Time | Saskatoon, Canada
Apply 4 days, 5 hours ago