Prior Authorization Specialist

1 week ago


Pasig, Philippines HRTX Full time

Qualifications: Bachelor's degree in any allied medical courseAt least 6 months of experience in prior authorizationStrong communication skills, both verbal and writtenWilling to work onsite Job Description: Contacting insurance companies to request prior authorization for specific medical procedures or prescriptions.Verifying Information: Checking patient eligibility, benefits, and coverage with insurance companies.Documenting Interactions: Keeping detailed records of all communications with insurance companies and patients.Managing Denials: Investigating denials, resubmitting requests, and potentially appealing decisions to ensure patient access to necessary care.Communicating with Patients: Explaining the prior authorization process to patients, including potential delays and financial implications.Collaborating with Providers: Working closely with healthcare providers to collect necessary clinical information for authorization requests.



  • Pasig, Philippines Connext Full time

    Prior Authorization Specialist – Connext (Pasig, Philippines) Connext Global Solutions is a dedicated team of business process outsourcing experts. We are currently hiring a Prior Authorization Specialist to work with our client in the United States. What’s in it for you? Competitive compensation Perfect Attendance Bonus Life insurance HMO insurance...


  • Pasig, National Capital Region, Philippines Connext Global Solutions Inc Full time ₱900,000 - ₱1,200,000 per year

    Connext is a dedicated team of business process outsourcing experts and innovators, with experience in supporting world-class companies in Title and Escrow, Healthcare, Produce Distribution, Retail and Fashion, Design Consulting, and Finance.We are currently looking for a Prior Authorization Specialist who will be working with Connext's Client in the United...


  • Pasig, National Capital Region, Philippines Connext Full time ₱900,000 - ₱1,200,000 per year

    Connext Global Solutionsis a dedicated team of business process outsourcing experts and innovators, with experience in supporting world-class companies in Title and Escrow, Healthcare, Produce Distribution, Retail and Fashion, Design Consulting, and Finance.We are currently looking for anPrior Authorization Specialistwho will be working with Connext's Client...


  • Pasig, Philippines HRTX Full time

    Qualifications: Bachelor's degree in any allied medical course At least 6 months of experience in prior authorization Strong communication skills, both verbal and written Willing to work onsite Job Description: Contacting insurance companies to request prior authorization for specific medical procedures or prescriptions. Verifying Information: Checking...


  • Pasig, Philippines Visaya KPO Full time

    WE'RE HIRING! – Prior-Authorization Nurse USRN – Pioneer Account Location: Ortigas (Onsite) Company: VISAYA Be part of a pioneer team supporting patient care through prior-authorization and utilization review services. Qualifications: Graduate of BS Nursing with an active USRN license At least 3–5 years of solid experience in: Utilization Review...


  • Pasig, National Capital Region, Philippines Visaya Knowledge Process Outsourcing Corporation Full time ₱450,000 - ₱900,000 per year

    WE'RE HIRING – Prior-Authorization Nurse (PHRN/USRN) – Pioneer Account Location: Ortigas (Onsite) Company: VISAYABe part of a pioneer team supporting patient care through prior-authorization and utilization review services. Qualifications:Graduate of BS Nursing with an active PHRN or USRN licenseAt least 3–5 years of solid experience in:Utilization...


  • Pasig City, Philippines Visaya KPO Full time

    WE'RE HIRING! – Prior-Authorization Nurse USRN – Pioneer Account Location: Ortigas (Onsite) Company: VISAYA Be part of a pioneer team supporting patient care through prior-authorization and utilization review services. Qualifications: Graduate of BS Nursing with an active USRN license At least 3–5 years of solid experience in: Utilization Review...


  • Pasig, Philippines Virtual Rockstar Careers Full time

    Insurance Verification and Authorization Specialist - Virtual Assistant Virtual Rockstar is hiring an Insurance Verification & Authorization Specialist on behalf of a privately owned physical therapy practice that provides health, fitness, and wellness services to community athletes of all ages and abilities. The Insurance Verification & Authorization...


  • Pasig, Philippines HR TechX Corp. Full time

    Job Overview We are seeking a detail-oriented and motivated Prior Authorization Specialist with a background in the medical allied field. The successful candidate will be responsible for handling prior authorization requests, ensuring accuracy and compliance with payer requirements, and supporting healthcare providers in securing approvals for medical...


  • Pasig, Philippines Visaya KPO Full time

    Role Overview: We are seeking a skilled Utilization Management/Review Nurse to join our team. This role is essential in ensuring patients receive appropriate, timely, and cost-effective care by reviewing medical records, treatment plans, and healthcare resource utilization. Key Responsibilities: Conduct concurrent and retrospective reviews of patient...