Prior Authorization Nurse

Prior Authorization Specialist (PHRN - Registered Nurse) Job openings: Prior Authorization Specialist (PHRN - Registered Nurse) About the job Prior Authorization Specialist (PHRN - Registered Nurse) We are seeking a detail-oriented and organized Prior Authorization Specialist to join our healthcare team. In this role, you will be responsible for obtaining...

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...

Prior Authorization Specialist (PHRN - Registered Nurse) We are seeking a detail-oriented and organized Prior Authorization Specialist to join our healthcare team. In this role, you will be responsible for obtaining prior authorizations for medical procedures, diagnostic tests, and medications from insurance providers. You will serve as a key liaison between...

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 role Nezda Technologies, Inc.' is seeking a dedicated and experienced PHRN - Prior Authorizations to join our dynamic team in Taguig City Metro Manila. In this full-time position, you will play a crucial role in managing the prior authorization process, ensuring timely and efficient approvals for our healthcare clients.What you'll be...

About the job PHRN - Prior Authorization Quality Auditor hiring Clinical Authorization Process.Onsite, Night Shift, Mon-Friday Qualifications Must hold an active PHRN license (not a USRN license holder) Relevant experience as a Quality Auditor in Clinical Services within a healthcare BPO environment; alternatively, 4 to 7 years of specialized experience ...

Support healthcare revenue cycle management by conducting prior authorization calls and documenting outcomes for Access Healthcare in the Philippines. Your Role: Key responsibilities include: Conducting outbound calls to providers to obtain authorization for specific medical procedures or prescription drugs Checking patient...

Overview Job title: PHRN – Clinical Authorization Work set up: Onsite Opportunity – MCK Taguig, Cyber Sigma Building Work schedule: Weekdays Night Shift schedule, Fixed Weekends Off Salary: 45K to 50K package if licensed PHRN, salary for approval if non-licensed Responsibilities Contact insurance carriers to verify patient’s insurance eligibility,...

JOB RESPONSIBILITIES:Contact insurance companies to verify coverage status of patient benefits.Files pre-authorizations for patients with insurance companies and provide follow up as needed.Process supply orders.Maintains accurate patient information in relevant Acelis Connected Health data management systems.Provides patients with information regarding...

Position SummaryThe Prior Authorization Admin Support RN will assist with the end-to-end coordination and submission of prior authorization requests. This includes gathering patient information, verifying insurance coverage, entering data into payer portals, and ensuring proper documentation is submitted alongside requests.Key ResponsibilitiesGather clinical...