Benefits and Authorisation Specialist - ( Job ID - 23919)

EducoHire; Mumbai; On-site; INR 279,000 - 335,000; Full time

Job summary

EducoHire is seeking a dedicated male Benefits & Authorization Specialist to join our Revenue Cycle Management team in Mumbai. The role will handle patient insurance verification, secure prior authorizations, and coordinate with internal teams to ensure smooth and timely healthcare billing operations.

You will verify eligibility, obtain authorizations for procedures, document details accurately, and proactively follow up on pending authorizations and renewals while maintaining high attention to

Qualifications

• Any Graduate with background in B. Com/BBA/B. Sc or Life Sciences preferred.
• Strong English verbal and written communication skills.

Responsibilities

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

Skills

English communication

Analytical skills

Multitasking

MS Office

Typing speed

Education

Any Graduate

Job description

Required Male Benefits and Authorisation Specialist - ( Job ID - 23919)

Job Opening: Required Male Benefits & Authorization Specialist (RCM)

Department: Revenue Cycle Management (RCM)

Experience: 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.

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.