Prior Authorization Specialist

About the job

Elint RCM Solutions LLC is dedicated to revolutionizing revenue cycle management (RCM) for healthcare providers across the U.S. by offering streamlined, scalable, and compliant solutions. We specialize in supporting every phase of the revenue lifecycle, from front-office administrative tasks to back-end billing and credentialing processes.

Key Responsibilities
1. Medical Assistant & Provider Support
Assist with new prescription requests, medication refill requests, and related documentation according to established clinic protocols.
Track laboratory, pathology, and diagnostic results and appropriately communicate or route information to providers and patients as directed.

2. Insurance Verification & Prior Authorization
Verify patient insurance coverage and accurately document relevant benefits and coverage information in the patient record.
Process and follow up on prior authorization requests for procedures, medications, visits, and other services as assigned.
Coordinate with patients, providers, and insurance representatives to obtain required information and resolve authorization or coverage-related issues.

3. Workflow Documentation & Team Collaboration
Document clinic-specific scheduling, communication, and administrative processes as you learn the practice's workflows.
Help develop clear SOPs and step-by-step procedures that can support consistent operations and future team expansion.
Maintain clear and timely communication with Physicians, Nurse Practitioners, schedulers, front-desk staff, and other members of the clinic team.

Required Qualifications
At least 2 years of front office hands-on experience supporting a U.S.-based medical practice
Experience performing PA, eligibility, and benefits verification.
Hands-on Jane App experience is required.
Strong experience with patient scheduling and appointment coordination
Familiarity with prior authorizations, insurance verification, prescriptions/refills, and laboratory or diagnostic-result workflows
Excellent spoken and written English communication skills
Strong attention to detail, organization, follow-through, and documentation skills
Comfortable communicating directly with patients, providers, and clinic staff
Ability to work independently while maintaining consistent communication with the onsite team
Thursday or Friday availability may occasionally be required depending on patient volume and scheduling needs. Schedule changes will be communicated for at least a week if a Thursday or Friday schedule is needed.

Job Details
Job Type: Onsite - Full-Time.
Job Time: 8:00 pm to 5:00 am. (Night shift)
Days: Monday to Friday.
Location: D.H.A Phase II Extension, Phase 2 Ext, DHA, Karachi, 75500.

Salary & Benefits
Competitive salary package.
Self Health & Life insurance.
EOBI Facility.
Professional and secure work environment.
Opportunities for learning and skill advancement.