Prior Authorization coordinator

The Prior Authorization (PA) Coordinator role is a full-time, on-site position based in Lahore, Pakistan, with working hours from 6:00 PM to 3:00 AM (PKT). This position involves supporting US healthcare clients by obtaining prior authorizations from insurance companies, verifying patient eligibility and benefits, and ensuring that medical services are approved before delivery to prevent claim denials. The ideal candidate will have strong communication skills and a detail-oriented approach to managing insurance processes within the medical billing framework.

Key Responsibilities:
- Obtain prior authorizations from various US insurance providers to ensure timely approval of medical services.
- Verify patient eligibility and benefits accurately to prevent claim rejections.
- Communicate confidently and professionally with US insurance representatives to resolve authorization issues.
- Maintain organized records of authorization requests and approvals.
- Utilize computer systems, including MS Office, email, and web portals, to manage and track authorization workflows.
- Collaborate with healthcare providers and billing teams to facilitate smooth claims processing.

Required Qualifications:
- Bachelor’s degree, preferably in healthcare, life sciences, or a related field. Fresh graduates are welcome to apply.
- Excellent spoken and written English skills, with the ability to communicate effectively with US-based insurance personnel.
- Strong attention to detail and organizational skills to manage multiple authorization requests efficiently.
- Basic computer proficiency, including familiarity with MS Office applications, email communication, and navigating web portals.

Preferred Qualifications and Benefits:
- Knowledge of the US health insurance landscape, including Medicare, Medicaid, and commercial payers.
- Familiarity with medical coding systems such as CPT and ICD-10.
- Experience using payer portals like Availity and NaviNet or electronic medical records (EMRs) systems such as eClinicalWorks, Kareo/Tebra, AdvancedMD, or Athena.
- Prior experience handling authorizations related to durable medical equipment (DME), laboratory services, or specialty care is advantageous.
- Competitive weekly pay of Rs25,000.00.
- The role requires working on-site, providing direct interaction with team members and access to necessary resources.

This position offers an excellent opportunity for individuals seeking to build a career in medical billing and healthcare administration, particularly those interested in gaining expertise in US insurance processes. Candidates who are detail-oriented, proactive, and comfortable working in a night shift environment will thrive in this role.