RCM Prior Authorization - SRKay Consulting Group
- Pune, Maharashtra, India
- Apply by: Jan 01, 2026
- 4 Vacancy
- Local Candidates (India)
- Shift: Third Shift (Night)
- Degree: Graduate
- Experience: 2 Year - 6 Year
- Full Time/Permanent (hiring on behalf)
- Work from Office
Job Description
- Review and process prior authorization requests for medical procedures, medications, and services.
- Verify insurance coverage and eligibility for patients undergoing prior authorization.
- Communicate with healthcare providers, insurance companies, and patients to gather necessary information for authorization.
- Ensure all required documentation is complete and accurate according to insurance and regulatory requirements.
- Track and monitor authorization requests and follow up as necessary to expedite approvals.
- Collaborate with clinical staff and physicians to provide necessary clinical documentation for authorization.
- Maintain updated knowledge of insurance policies, guidelines, and regulations related to prior authorizations.
- Identify and resolve issues or discrepancies related to prior authorizations to minimize delays and optimize revenue cycle efficiency.
Skills Required
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