Workers' Compensation RFA Specialist

BlueEdge Digital Marketing Agency; Karachi Division; On-site; PKR 550,000 - 750,000; Full time

Job summary

BlueEdge Digital Marketing Agency in Karachi, Pakistan is seeking an experienced RFA Specialist to handle California Workers' Compensation medical billing and authorization procedures.

You will prepare and submit RFAs, review medical documentation, coordinate with insurers and providers, and maintain precise records to ensure timely submissions. Strong English communication and independent work ethic are essential.

Qualifications

• Experience in California Workers' Compensation RFA processing.
• Understanding of medical billing terminology and authorization procedures.
• Familiarity with California DWC RFA requirements.

Responsibilities

• Prepare and submit RFAs.
• Review medical reports, treatment plans, and supporting documentation.
• Follow up with insurance carriers and claims adjusters regarding authorization status.
• Track pending, approved, delayed, and denied RFAs.
• Maintain accurate records and ensure timely submissions.
• Coordinate with healthcare providers and internal billing teams.

Skills

Good English communication

Organizational skills

Independent work

Deadline-oriented

Job description

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Healthcare Services / Operations

Workers' Compensation RFA Specialist

Location: Karachi, PakistanSalary: Competitive SalaryIndustry: Medical Billing

• Full-Time

We are looking for an experienced RFA Specialist with knowledge of California Workers' Compensation medical billing and authorization procedures.

Key Responsibilities

• Prepare and submit Requests for Authorization (RFA)
• Review medical reports, treatment plans, and supporting documentation
• Follow up with insurance carriers and claims adjusters regarding authorization status
• Track pending, approved, delayed, and denied RFAs
• Maintain accurate records and ensure timely submissions
• Coordinate with healthcare providers and internal billing teams

Requirements

• Experience in California Workers' Compensation RFA processing
• Understanding of medical billing terminology and authorization procedures
• Familiarity with California DWC RFA requirements
• Good English communication and organizational skills
• Ability to work independently and meet deadlines