Prior Authorization Specialist

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...

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...

Overview Finni Health empowers autism care providers to start, run, and grow their own practices. We democratize autism care by providing access to our insurance network, purpose-built EHR software, HR solutions, and clinical support. We seek bright, driven individuals eager to innovate in a dynamic, fast-paced environment. Responsibilities Benefits &...

Overview Snapscale is looking for an expert Authorization and Eligibility Specialist to perform the following functions: Verify insurance eligibility, benefits, exclusions, deductibles, co-pays, and co-insurance for occupational and speech therapy patients. Contact insurance providers to clarify discrepancies or misquoted benefits. Enter benefit details into...

We areseeking a Billing Specialist to join our dynamic team based in Davao City, Davao del Sur. As a Billing Specialist, you will play a crucial role in managing the billing and invoicing processes for our diverse range of clients. This is a full-time position, with opportunities for career growth and development within our organisation.What you'll be...

About HubexoWe provide cutting-edge data, insights, and software solutions to the global construction industry. We specialise in project information, eTendering, product information, market intelligence, and specification. We help the world build better by delivering unrivalled insights and technology that shape places where people live, work and...

Join to apply for the Senior Revenue Cycle Specialist role at Connext Connext Global Solutions 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...

Overview Summary: An Eligibility and Verifications Specialist's main responsibilities include verifying insurance coverage, estimating patient cost-sharing responsibilities, and determining the coverage of specific services, devices, and treatment modalities under patients' insurance plans. Your expertise will ensure accurate billing, streamline...

Company DescriptionPower Mac Center is the premier Apple partner in the Philippines, established in August 1994. As a recognized Apple Premium Reseller, Authorized Education Reseller, Authorized Training Center, and Authorized Service Provider, Power Mac Center serves as both a reliable retailer and service provider of Apple products. With over 26 retail...

Summary: An Eligibility and Verifications Specialist’s main responsibility is verifying insurance coverage, estimating patient cost-sharing responsibilities, and determining the coverage of specific services, devices, and treatment modalities under patients' insurance plans. Your expertise will ensure accurate billing, streamline administrative processes,...