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prior authorization specialist

3 months ago

Manila, National Capital Region, Philippines ADEC INNOVATIONS HEALTHCARE, INC Full time

Job Qualifications:

Education: Graduate of a medical course or any related field.Experience: At least 6 months of experience in Healthcare BPO, medical, or pharmacy.EMR Experience: Experience with Electronic Medical Records (EMR) systems such as EPIC is advantageous.Medical Terminology Knowledge: Understanding of medical procedures, treatments, and terminology is advantageous.Attention to Detail: Ability to meticulously review documentation and ensure accuracy.Communication Skills: Strong verbal and written communication skills for effective interaction with healthcare providers, insurers, and internal teams.Analytical Thinking: Capacity to investigate denial reasons and gather supporting facts for appeals.Nesting and Training: The nesting and training period will be onsite in Alabang, Muntinlupa City.Work Arrangement: Post-training, the role will be performed remotely from home.