
Prior Authorization Specialist | Work From Home
1 day ago
Join Our Team as a Prior Authorization Specialist The Prior Authorization Specialist is responsible for efficiently navigating the insurance landscape in the healthcare or pharmaceutical sector. They meticulously review and process benefits investigations for high-cost medications, secure prior authorizations when needed, and estimate medication costs based on insurance coverage. Key Responsibilities Analyze benefits inquiries on insurance platforms for high-cost medications. Verify the eligibility of patients for medication coverage. Initiate and complete the prior authorization process when necessary. Communicate with healthcare providers and insurance companies to secure authorizations. Calculate and estimate medication costs based on the benefits and insurance coverage obtained. Provide accurate cost information to patients and healthcare providers. Possess a comprehensive understanding of the distinction between a referral and a prior authorization. Demonstrate exceptional attention to detail in all tasks to prevent errors and ensure accurate processing. Maintain precise records and documentation for compliance and reference purposes. Qualifications Experience in healthcare or medical billing, insurance processing, or prior authorization. Strong knowledge of insurance procedures, medical terminology, and regulations. Familiar with various insurance plans and their specific requirements. Clear written and verbal communication skills for interacting with providers, insurers, and patients. Proficient in using insurance platforms and software for benefits verification and authorizations. Exceptional attention to detail to prevent errors in processing and documentation. Skilled in managing multiple cases and maintaining accurate records. Able to troubleshoot issues in benefits investigations and authorizations. Strong interpersonal skills with a focus on providing excellent customer service. Adaptable and eager to learn new systems and regulations. Why Connext? Competitive Compensation Perfect Attendance Bonus Company-Provided Equipment 25% Night Differential Pay Life and HMO Insurance Coverage 20 Leave Credits Good Company Culture #J-18808-Ljbffr
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Social Media Backer
1 week ago
Capital District, Philippines Cyberbacker Careers Full timeJoin to apply for the Social Media Backer - Work From Home role at Cyberbacker Careers 1 week ago Be among the first 25 applicants Join to apply for the Social Media Backer - Work From Home role at Cyberbacker Careers Get AI-powered advice on this job and more exclusive features. ResponsibilitiesSet-up social media Business Pages (Facebook, Instagram,...
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Bookkeeper (Work From Home)
4 weeks ago
Capital District, Philippines Persona Full timeOverview Join to apply for the Bookkeeper (Work From Home) role at Persona Persona is a talent agency that recruits, trains, and staffs remote professionals. This is an opportunity to work closely with the future Googles, Facebooks, and Amazons of the world—building out their organizations and helping them reach the next level of success. We support...
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Data Analyst
2 weeks ago
Capital District, Philippines Persona Full timeJoin to apply for the Data Analyst (Work From Home) role at Persona Persona is the company top startups use to hire people from all around the world. Our vision is a future where each person can find the best role for them and companies can discover the world’s best talent. Founded by two Stanford University graduates, Persona works with the world’s...
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Content Coordinator
2 weeks ago
Capital District, Philippines Precondo Full timeOverview Location: Remote / Work From Home Company: Precondo Salary: 1,200 USD / month We are looking for an organized and detail-oriented Content Coordinator to oversee and manage Precondo’s content creation and publishing process. This role involves coordinating writers, editors, and designers to ensure timely delivery of high-quality, SEO-optimized...
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Fully Remote
1 day ago
Capital District, Philippines Tender Home Health Full timeFully Remote - Home Health Quality Assurance Specialist Active RN, LVN/LPN, or certified medical coder (e.g., CPC, CCS, HCS-D) credential Minimum 2 years experience in the Home Health Quality Assurance Minimum 2 years of experience in Home Health coding (ICD-10, OASIS) Strong knowledge of Medicare guidelines, PDGM, and regulatory compliance Proficient with...
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Prior Authorization Specialist
4 weeks ago
Eastern Manila District, Philippines Buscojobs Full timeOverview Medical Biller/ AR Specialist - Virtual Assistant (Remote) Two remote opportunities described: Medical Biller/ Accounts Receivable Specialist at Virtual Rockstar for a growing physical therapy practice serving Kansas, Missouri, and Arizona. Medical Biller / Accounts Receivable Specialist at Virtual Rockstar on behalf of a long-standing non-profit...
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Capital District, Philippines Twoconnect Full timeWe’re seeking a Supply Chain Coordinator to oversee freight, supplier engagement, and inventory support. You’ll manage international and domestic shipments, ensure accurate system updates, and contribute to procurement and MRP processes. This role is ideal for candidates with strong logistics and supply chain knowledge. Responsibilities Monitor and...
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Senior Bookkeeper
4 weeks ago
Capital District, Philippines Twoconnect Full timeWe’re seeking a Senior Bookkeeper with strong construction industry expertise to oversee payroll, reconciliations, BAS/GST, and project accounting. This role offers the chance to partner closely with project managers and leadership while ensuring accurate financial reporting and compliance. Responsibilities Manage full-cycle bookkeeping, including accounts...
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Work From Home Dentist!
4 weeks ago
Eastern Manila District, Philippines Newyorkfamilydentistry Full timeWe are seeking an internationally trained and highly skilled dentist to join our team as a Work From Home Dentist. In this role, you will be responsible for auditing clinical notes for accuracy and completeness, along with precise teeth charting and ensuring all patient records are comprehensive and aligned with industry standards and regulations. Your...
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Logistics Customer Service Representative
2 weeks ago
Capital District, Philippines Remote VA Full timeOverview RemoteVA PH is on the lookout for a Logistics Customer Service Representative who thrives in fast-paced environments and has proven routing experience with wholesalers. In this role, you’ll be the vital link between our clients and warehouse operations—making sure every order is processed, routed, and shipped on time. You’ll also play a key...