Job Description
Industry Type: RCM / US Medical Billing Location: Navi Mumbai (Ghansoli) Division: Revenue Cycle Management (RCM) Job Responsibilities: This is a full-time work from office role for a Pre-authorization Specialist. The Pre-authorization Specialist will be responsible for verifying patient insurance coverage, obtaining pre-authorization for medical procedures prior to services being rendered utilizing online websites, tools, or via phone calls. The Pre-authorization Specialist will communicate with insurance companies and healthcare providers to resolve any issues or discrepancies in claims. The Pre-authorization Specialist needs to be able to review and understand Provider Medical Records. The Pre-authorization Specialist needs to be able to submit Appeals for denied claims and ensure all accurate and pertinent information is provided to the Payer in a timely manner. Skills Required: • Minimum 1 year experience in the Pre-Auth department. • Experience with medical billing and insurance verification and authorization processes. • Strong communication and interpersonal skills to interact with insurance companies. • Attention to detail and ability to accurately process and manage data. • Ability to work in a fast-paced environment and meet deadlines. • Good understanding of medical terminology. • Good understanding of Payer guidelines. Education: Graduate (Any stream). Employment Type: Full Time, Permanent. Night shift. Perks and benefits: Home Drop Facility, Free Dinner Facility, 5 days working (Monday to Friday), Performance based incentives.
💡 Quick Summary
Seeking a career-building opportunity? The RCM|Associate |Pre|Authorization Specialist position is now open for candidates interested in the Remote Jobs sector. This role in Mumbai offers a professional environment and growth potential.
Requirement Snapshot: Candidates should possess basic communication skills, a proactive attitude, and the ability to work in a team. Experience in Remote Jobs is a plus.