AR Analyst - Prior Authorisation Specialist

Starlink Healthcare Administration

Chennai District

On-site

INR 279,000 - 391,000

Full time

8 days ago
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Job summary

Starlink Healthcare Administration is seeking a Prior Authorisation Specialist for an office-based role in a fast-paced environment. You will review clinical documents and payer requirements, submit requests via multiple channels, and track statuses to ensure timely approvals.

The position requires a high school diploma or higher, 13 years of related experience, and strong knowledge of CPT/HCPCS codes, payer portals, and medical terminology. Excellent communication and organization are essential.

Qualifications

  • High School Diploma; Associates/Bachelors degree preferred.
  • 13 years of experience in Prior Authorization/Medical Billing/RCM.
  • Knowledge of insurance workflows, CPT/HCPCS codes, and medical terminology.
  • Proficiency in payer portals, EHR/PMS systems, and MS Office.
  • Excellent communication and organizational skills; deadline-driven.

Responsibilities

  • Review clinical documents and payer requirements to identify authorization needs.
  • Submit prior authorization requests via phone, portal, or fax.
  • Track, monitor, and update authorization status in systems.
  • Communicate approval or denial outcomes to providers and billing teams.
  • Escalate delayed or denied cases to Team Lead/Manager.
  • Maintain accuracy in documentation and authorization details.

Skills

Excellent communication
Organizational skills
Deadline-oriented

Education

High School Diploma or higher

Tools

MS Office
EHR/PMS systems
Payer portals

Job description

Prior Authorisation Specialist
Responsibilities
  • Review clinical documents & payer requirements to identify authorization needs
  • Submit prior authorization requests via phone, portal, or fax
  • Track, monitor, and update authorization status in systems
  • Communicate approval/denial outcomes to providers & billing teams
  • Escalate delayed/denied cases to Team Lead/Manager
  • Maintain accuracy in documentation and authorization details
Qualifications
  • High School Diploma (Associates/Bachelors degree preferred)
  • 13 years of experience in Prior Authorization / Medical Billing / RCM
  • Knowledge of insurance workflows, CPT/HCPCS codes, and medical terminology
  • Proficiency in payer portals, EHR/PMS systems, and MS Office
  • Excellent communication & organizational skills
  • Ability to work under deadlines in a high-volume environment
Shift & Work Environment
  • Night Shift (US Healthcare process)
  • Office-based role, fast-paced environment
  • Frequent interaction with insurance reps, providers, and RCM team

Job Types: Full-time, Permanent

Compensation: 25,000.00 - 35,000.00 per month

Benefits:

Leave encashmentProvident Fund

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