Benefits and Authorisation Specialist - ( Job ID - 23919)

EH Jobs; Maharashtra; On-site; INR 279,000 - 335,000; Full time

Job summary

EH Jobs is seeking a Benefits & Authorization Specialist (RCM) in Maharashtra to verify patient insurance, secure prior authorizations, and coordinate with internal teams for timely healthcare billing.

The role requires attention to detail, strong English communication, and the ability to handle multiple tasks in a night-shift environment (7:00 PM – 4:00 AM IST) on a 5-day roster.

Qualifications

• Education: Any Graduate (B.Com, BBA, B.Sc, or Life Sciences background preferred).
• Communication: Good verbal and written communication skills in English.
• Analytical: Excellent problem-solving abilities and high attention to detail.
• Multitasking: Ability to handle multiple tasks efficiently in a fast-paced environment.
• Technical: Basic computer proficiency (MS Office) and good typing speed.
• Bonus: Prior RCM experience or medical terminology knowledge is a plus.

Responsibilities

• Verify patient insurance eligibility and benefits through payer portals or direct calls.
• Obtain prior authorizations for procedures, surgeries, and diagnostic services in a timely manner.
• Document authorization details, notes, and reference numbers in the system.
• Follow up on pending authorizations and renewals to prevent claim denials.
• Collaborate with billing and clinical teams for seamless processing.

Skills

Communication

Analytical thinking

Multitasking

MS Office

Education

Any Graduate

Tools

MS Office

Job description

Job Opening: Benefits & Authorization Specialist (RCM)

Department: Revenue Cycle Management (RCM)

Experience: Freshers / 2–3 Years

Shift: 7:00 PM – 4:00 AM IST (Night Shift - Mandatory)

Working Days: 5 Days working (Rotational Week-offs)

Salary Range: ₹25,000 to ₹30,000 per month

Position Summary

We are looking for a dedicated and detail-oriented Benefits & Authorization Specialist to join our RCM team. The ideal candidate will handle patient insurance verification, secure prior authorizations, and coordinate with internal teams to ensure smooth and timely healthcare billing operations.

Key Roles & Responsibilities

• Insurance Verification: Verify patient insurance eligibility and benefits accurately through payer portals or direct calls.

• Prior Authorizations: Obtain prior authorizations for medical procedures, surgeries, and diagnostic services in a timely manner.

• Documentation: Accurately document authorization details, notes, and reference numbers in the system.

• Follow-Ups: Proactively follow up on pending authorizations and renewals to prevent claim denials.

• Team Coordination: Collaborate effectively with billing and clinical teams for seamless processing.

Required Skills & Qualifications

• Education: Any Graduate (B.Com, BBA, B.Sc, or Life Sciences background preferred).

• Communication: Good verbal and written communication skills in English.

• Analytical Skills: Excellent problem-solving abilities and high attention to detail.

• Multitasking: Ability to handle multiple tasks efficiently in a fast-paced environment.

• Technical Skills: Basic computer proficiency (MS Office) and good typing speed.

• Bonus Points: Prior RCM experience or basic knowledge of medical terminology is a strong plus (Freshers with great aptitude are also welcome).

Shift & Other Requirements

• Night Shift: Must be comfortable working the 7:00 PM – 4:00 AM IST shift consistently.