Prior-Authorization Specialist

HRMD Solutions is seeking a detail-oriented Authorization Specialist with experience in Revenue Cycle Management (RCM), specifically focusing on pain management. The successful candidate will be responsible for managing the authorization process to ensure timely approvals for pain management procedures and medications. This role involves close collaboration with insurance companies, healthcare providers, and clinical staff to maintain efficient authorization workflows and promptly resolve any issues that arise.

Key Responsibilities:
- Obtain and verify insurance authorizations for pain management procedures, including injections, surgeries, and other interventions.
- Review patient medical records and documentation to ensure accuracy and completeness for authorization submissions.
- Communicate effectively with insurance companies, healthcare providers, and patients to facilitate the authorization process.
- Collaborate with clinical staff to gather necessary information for authorization requests and appeals.
- Stay informed about insurance regulations and guidelines related to pain management authorization processes.
- Track and document authorization statuses, ensuring timely follow-up and resolution of any issues or denials.
- Provide support and guidance to clinical staff regarding authorization requirements and procedures.

Required Qualifications:
- At least 6 months of experience as an Authorization Specialist in a healthcare environment, with a preference for experience in pain management.
- Strong understanding of medical terminology, coding, and billing processes.
- Proficiency in working with electronic health records (EHR) systems and authorization software.
- Excellent communication and interpersonal skills to engage effectively with patients, providers, and insurance representatives.
- Detail-oriented with strong organizational and time management skills.
- Ability to work both independently and as part of a team in a fast-paced setting.

This is a full-time, onsite position located in Lahore. Candidates must be available to work night shifts. The salary range for this role is Rs65,000 to Rs100,000 per month. Applicants should be prepared to confirm their willingness to work onsite during night hours and accept the offered salary range.