Authorization Specialist – Medical Billing

Job Summary: We are seeking a detail-oriented and proactive Authorization Specialist to join our medical billing team. This position is responsible for initiating and following up on prior authorizations for medical procedures, services, or medications by calling insurance companies and verifying patient coverage. The role plays a crucial part in ensuring timely approvals to support patient care and clean claims submission. Key Responsibilities: 1. Call insurance companies to initiate and obtain prior authorizations for medical procedures, diagnostic tests, surgeries, and other healthcare services. 2. Verify patient eligibility and benefits related to specific procedures or services. 3. Accurately document all calls, outcomes, and authorizations received in the billing or EMR system. 4. Follow up on pending authorizations to ensure timely approvals and minimize delays in patient care. 5. Work closely with providers, scheduling staff, and billing teams to coordinate patient services. 6. Identify and escalate issues with denials, coverage discrepancies, or authorization delays. 7. Stay up to date on payer-specific guidelines and policy changes. 8. Ensure compliance with HIPAA and patient confidentiality requirements. Qualifications: -High school diploma or equivalent; associate degree or certification in medical billing/coding is a plus. -Minimum 1–2 years of experience in medical billing, insurance verification, or prior authorization. -Strong understanding of medical terminology, CPT/ICD codes, and insurance guidelines. -Excellent verbal communication skills—must be comfortable speaking with insurance reps over the phone. -Ability to work in a fast-paced, deadline-driven environment. -Experience with EMR systems and billing software preferred. -Strong attention to detail and organizational skills. Preferred Skills: -Experience with payers like Medicare, Medicaid, Blue Cross, Aetna, Cigna, etc. -Familiarity with outpatient, inpatient, or specialty-specific authorization workflows. -Bilingual skills are a plus (especially Spanish, depending on the patient population). Job Types: Full-time, Permanent Pay: ₹32,000.00 - ₹35,000.00 per month Benefits: Flexible schedule Health insurance Leave encashment Life insurance Paid sick time Paid time off Schedule: Evening shift Monday to Friday Night shift Supplemental Pay: Overtime pay Work Location: In person