Authorization Officer

Talent21 Management and Shared Services Pvt Ltd; Chennai; On-site; INR 513,000 - 627,000; Full time

Job summary

IKS Health in Chennai is seeking an experienced Prior Authorization Specialist to support US Healthcare revenue cycle management. You will handle authorization requests, verify patient insurance, review medical records, and coordinate with insurance payers to obtain approvals.

The role requires knowledge of EHR systems, insurance verification, and the ability to work night shifts. Candidates with 1+ year of relevant experience and strong communication skills are preferred.

Qualifications

• 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

Communication

Night Shift

Tools

EHR

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.