Insurance Verification & Prior Authorization Specialist

Key ResponsibilitiesInsurance Verification & Eligibility

• Verify patient insurance benefits through payer portals or by contacting insurance representatives directly.
• Maintain accurate and current eligibility records in the Electronic Health Record (EHR) system (e.g., eClinicalWorks).
• Complete and upload insurance verification forms promptly for all new patients.
• Clearly communicate estimated out-of-pocket costs to patients.
• Escalate unresolved coverage or balance issues to the Patient Collections team.
• Follow up proactively with patients to obtain missing or updated insurance details.

Authorizations & Compliance

• Obtain prior authorizations for services requiring insurer approval.
• Ensure compliance with Medicaid and other payer-specific authorization requirements.
• Coordinate with the Patient Services team on out-of-network cases.
• Secure authorizations for psychological evaluations while maintaining proper documentation and system alerts.

Operational Support & Coordination

• Assist with urgent or same-day appointment scheduling to ensure workflow efficiency.
• Report billing discrepancies, payer policy updates, and provider network status changes.
• Collaborate with the Practice Manager to resolve incomplete intake documentation.
• Participate in regular meetings with the Billing Manager to improve workflows, accuracy, and efficiency.

Job Type: Full-time

Pay: Rs40,000.00 - Rs80,000.00 per month

Ability to commute/relocate:

• Lahore: Reliably commute or planning to relocate before starting work (Preferred)

Application Question(s):

• Willing to work the night shift?

Experience:

• Medical Billing: 1 year (Preferred)

Language:

• English (Preferred)

Work Location: In person