Physician Prior Authorization Specialist

3 days ago


Lahore, Punjab, Pakistan beBee Careers Full time

Job Description:

Medical Doctor

A Medical Doctor is required to manage responsibilities in prior authorization and clinical documentation review. This role is suited for a physician with a strong administrative focus, in-depth knowledge of medical compliance requirements, and excellent command of the English language for documentation and communication.

Key Responsibilities:
  • Analyze and review medical records for completeness, accuracy, and compliance with payer requirements.
  • Execute prior authorization workflows for medications, procedures, and diagnostic tests.
  • Audit and validate clinical documentation to support accurate billing and coding.
  • Coordinate with insurance portals to verify approvals and billing eligibility when necessary.
  • Maintain timely and compliant documentation aligned with CMS and HIPAA guidelines.
Requirements:
  • Medical degree (MBBS, MD) from a recognized institution.
  • Active and valid medical license (international or domestic).
  • Minimum 2 years of hands-on experience in any of the following areas:
    • Prior Authorization
    • Clinical Documentation Review
  • Excellent English communication skills – both written and verbal – are mandatory.
Qualifications:
  • Proficiency with EHR platforms and billing systems.
  • High level of accuracy and consistency in clinical and administrative documentation.
  • Ability to work independently during night shifts.
Benefits:
  • Fulfilling career as a Medical Doctor.
  • Opportunity to work with electronic health records.
  • Chance to develop expertise in clinical documentation and prior authorization.


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