Prior-Authorization Specialist

HRMD Solutions is looking for a skilled Authorization Specialist with experience in Revenue Cycle Management (RCM), specifically focusing on pain management. The ideal candidate will efficiently manage the authorization process to ensure timely approvals for pain management procedures and medications. This role requires close collaboration with healthcare providers, insurance companies, and clinical staff to facilitate smooth authorization workflows and resolve any issues promptly.

Key Responsibilities:
- Obtain and verify insurance authorizations for pain management procedures such as 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 setting; experience with pain management is an advantage.
- Strong knowledge of medical terminology, coding, and billing processes.
- Proficiency with electronic health records (EHR) systems and authorization software.
- Excellent communication and interpersonal skills, with the ability to interact effectively with patients, providers, and insurance representatives.
- Detail-oriented with strong organizational and time management skills.
- Ability to work both independently and collaboratively in a fast-paced environment.

Additional Information:
This is a full-time, onsite position based in Lahore. Candidates must be available to work night shifts. The offered salary ranges from Rs65,000 to Rs100,000 per month. Applicants should be prepared to confirm their residence in Lahore, availability for night shifts, and agreement with the salary offer during the application process.