Authorised Officer

Talent21; Chennai; On-site; INR 513,000 - 627,000; Full time

Job summary

IKS Health is hiring experienced Prior Authorization Specialists for its Revenue Optimization Process in Chennai. Candidates should have experience in US Healthcare, Prior Authorization, Insurance Verification, and Medical Record Analysis.

The role requires handling authorization requests, coordinating with US insurers, and ensuring accurate documentation while adhering to compliance standards. Night shifts are required and the team is focused on optimizing revenue recovery for healthcare

Qualifications

• Minimum 1+ year of relevant experience in Prior Authorization.
• Prior Authorization experience in US Healthcare preferred.
• Knowledge of Revenue Cycle Management (RCM).
• Experience with Insurance Verification and Eligibility.
• Knowledge of EHR and Medical Records.
• Familiarity with US healthcare insurance processes.
• Good communication and analytical skills.
• Willingness to work in night shifts.

Responsibilities

• Handle prior authorization requests for medical services and procedures.
• Initiate, process, and follow up on authorization requests with US insurance companies.
• Review patient medical records using Electronic Health Records (EHR).
• Verify patient insurance eligibility, coverage, and active status.
• Coordinate with insurance payers through online portals and phone calls.
• Maintain accurate authorization records and documentation.
• Identify and resolve authorization discrepancies.
• Follow insurance guidelines and compliance procedures.
• Escalate complex authorization issues when required.

Skills

Prior Authorization

US Healthcare

RCM

Insurance Verification

EHR/Medical Records

US Insurance Processes

Communication Skills

Analytical Thinking

Night Shift

Job description

Job Description : Prior Authorization Specialist

Company: IKS Health
Location: Chennai
Experience: Minimum 1+ Years
Salary: Up to 5.70 LPA
Shift: Night Shift
Process: US Healthcare Revenue Cycle Management (RCM)
Department: Revenue Optimization

Job Summary

IKS Health is hiring experienced Prior Authorization Specialists for its Revenue Optimization Process in Chennai. Candidates should have experience in US Healthcare, Prior Authorization, Insurance Verification, and Medical Record Analysis.

Roles & Responsibilities

• Handle prior authorization requests for medical services and procedures.
• Initiate, process, and follow up on authorization requests with US insurance companies.
• Review patient medical records using Electronic Health Records (EHR).
• Verify patient insurance eligibility, coverage, and active status.
• Coordinate with insurance payers through online portals and phone calls.
• Maintain accurate authorization records and documentation.
• Identify and resolve authorization discrepancies.
• Follow insurance guidelines and compliance procedures.
• Escalate complex authorization issues when required.

Required Skills

• Minimum 1+ year of relevant experience.
• Prior Authorization experience in US Healthcare preferred.
• Knowledge of Revenue Cycle Management (RCM).
• Experience with Insurance Verification and Eligibility.
• Knowledge of EHR and Medical Records.
• Familiarity with US healthcare insurance processes.
• Good communication and analytical skills.
• Willingness to work in night shifts.