Prior Authorization Specialist

Access Healthcare is looking for motivated and detail-oriented individuals to join our Healthcare Prior Authorization team.Key Responsibilities:Review and process prior authorization requests from healthcare providers.Verify patient insurance coverage and ensure compliance with payer requirements.Coordinate with healthcare providers, insurance companies, and...

About the job Prior Authorization Nurse - PHRN (QA) Position: Clinical/Prior Authorization - Quality Auditor Qualifications: Must hold an active PHRN license (not a USRN license holder) Must have at least solid 4 to 7 years experience in Clinical/Prior Authorization or Utilization Review Relevant experience as a Quality Auditor in Clinical Services within a...

Position Title PHRN Quality Auditor - Prior/Clinical Authorization Location McKinley, Taguig Work Set-up Full Onsite | Night Shift Type Direct Hire | Permanent role Qualifications Must hold an active PHRN license With relevant experience as a Quality Auditor in Clinical Services within a healthcare BPO environment Open for Associate/CSR with 4+ years of...

Position Summary:The individual in this position works under direction of Case Manager/UR RN or Social Worker with a primary role of supporting the daily operations of the UR team through the completion of various administrative duties. The individual's responsibilities include but are not limited to:Index, process, and document the incoming payer faxes...

Why You'll Love Working with Us:• Work from Home• Basic Salary: ₱23, Not Negotiable)• Communication Allowance: ₱2,000.00• DeMinimis: ₱5, Non-taxable)• 20% Variable Night Differential (around ₱4,600.00)• Other Benefits- HMO coverage with 1 Dependent after 1 month. Plus, an additional Dependent on your 1-year anniversary.- 18 Days Service...

About the job PHRN - Utilization Review / Clinical Authorization We're Hiring: PHRN Quality Auditor Clinical Services Location: Onsite, Mckinley, TaguigSchedule: Night Shift | Monday to FridayHiring Target Date: Preferably by July 21, 2025 Salary Range: Up to 50k Qualifications Must hold an active PHRN license (Not a USRN holder)Prior experience as a Quality...

Your Role: Key responsibilities include: Conducting outbound calls to providers to obtain authorization for specific medical procedures or prescription drugs Checking patient eligibility, benefits, and coverage Documenting call notes and taking appropriate action in the revenue cycle system About You: To be considered for this position, applicants need to...

Job Title: Team Leader Pharmacy Authorization (RN) Location: McKinley, Taguig City Work Set-up: Onsite OUR COMPANY AGS Healthis more than a revenue cycle management company–we’re a strategic partner for growth. With expert services complemented by AI-enabled technologies and high-touch support, AGS Health is the premier revenue cycle partner for leading...

Job OverviewWe are looking for a Patient Eligibility Verification Specialist for our Voice Program, who will be responsible for verifying patients' insurance coverage and eligibility under Medicaid and Medicare. The role requires strong communication skills, attention to detail, and experience handling patient verification calls in a healthcare or BPO...

Role Overview Assisting clients with their Australia visa applications Communicating and consulting clients on their eligibility for Australia visa programs Working with clients to obtain relevant documentation and information to fulfill the requirements of the visa programs Monitoring and communicating the progress of clients' application status and...