Prior Authorization Assistant
3 days ago
Were looking for a detail-oriented and experienced Prior Authorization Specialist to join our growing team. In this role, you will be responsible for handling pre-certifications, verifying insurance coverage, and ensuring timely approvals for medical procedures, medications, and services. Your work will directly support patients in accessing the care they need while ensuring compliance with payer requirements. Key Responsibilities Review prior authorization requests and submit required documentation to insurance companies. Verify patient eligibility and benefits. Communicate with providers, patients, and insurance representatives to resolve authorization issues. Track and follow up on pending authorizations to ensure timely approvals. Maintain accurate records of authorizations and denials in the system. Stay updated on payer policies and requirements. Qualifications Previous experience as a Prior Authorization Specialist, Medical Biller, or similar healthcare/insurance role. Strong knowledge of medical terminology, insurance processes, and authorization requirements. Excellent communication and problem-solving skills. High attention to detail and organizational skills. Ability to work efficiently in a fast-paced environment. #J-18808-Ljbffr
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Prior Authorization
3 days ago
Quezon City, Philippines Swift-up Full timeResponsibilities: Submit requests for prior authorizations to insurance companies or third-party payers. Follow up on pending authorizations and ensure timely processing to prevent delays in patient care. Document authorization information in patient records and update as needed. Verify patients' insurance eligibility, benefits, and coverage limitations....
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Prior Authorization Specialist
1 week ago
Quezon City, National Capital Region, Philippines 1840&Company Full time ₱1,200,000 - ₱2,400,000 per yearWe are seeking a detail-oriented and experienced Prior Authorization Specialist to manage the full lifecycle of prior authorizations (PAs) for medical services. The ideal candidate will be responsible for timely submission, meticulous follow-up, and effective resolution of all prior authorization requests and subsequent appeals. This role is critical in...
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Prior Authorization Specialist
3 days ago
Batangas City, Philippines 1840 & Company Full timeWe are seeking a detail-oriented and experienced Prior Authorization Specialist to manage the full lifecycle of prior authorizations (PAs) for medical services. The ideal candidate will be responsible for timely submission, meticulous follow-up, and effective resolution of all prior authorization requests and subsequent appeals. This role is critical in...
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Prior Authorization Specialist
1 week ago
Quezon City, National Capital Region, Philippines 1840 & Company Full time ₱1,200,000 - ₱2,400,000 per yearWe are seeking a detail-oriented and experienced Prior Authorization Specialist to manage the full lifecycle of prior authorizations (PAs) for medical services. The ideal candidate will be responsible for timely submission, meticulous follow-up, and effective resolution of all prior authorization requests and subsequent appeals. This role is critical in...
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Prior Authorization Unit Supervisor
7 days ago
Tarlac City, Philippines Enterprise Mangement Solutions Inc Full timeThis is a Philippine-based position; NOT a US based position and the pay rate is not in US currency. ABOUT FREEDOM HEALTH SYSTEMS, INC: Freedom Health Systems, Inc. is a mission-driven healthcare advisory and management consulting firm that partners with behavioral health and human services organizations to improve access, equity, and operational excellence....
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Pharmacy Prior Authorization Specialist
21 hours ago
Quezon City, Philippines Intelassist Full timeEOR: One Workforce GlobalEmployment Type: Full-Time EmploymentWork Setup: 100% Onsite (Office location in either Eastwood, Clark or Muntinlupa)Work Schedule: Night Shift (Following U.S. Time Zone) Position Overview The Pharmacy Prior Authorization Specialist is responsible for handling and processing medication prior authorization (PA) requests with minimal...
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Pharmacy Prior Authorization Specialist
4 days ago
Quezon City, National Capital Region, Philippines Intelassist Full time ₱250,000 - ₱450,000 per yearEOR: One Workforce GlobalEmployment Type: Full-Time EmploymentWork Setup: 100% Onsite (Office location in either Eastwood, Clark or Muntinlupa)Work Schedule: Night Shift (Following U.S. Time Zone)Position Overview:The Pharmacy Prior Authorization Specialist is responsible for handling and processing medication prior authorization (PA) requests with minimal...
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Certified Pharmacist
3 days ago
Quezon City, Philippines Intelassist Full timeEOR: One Workforce Global Employment Type: Full-Time Employment Work Setup: 100% Onsite (Office location in either Eastwood, Clark or Muntinlupa) Work Schedule: Night Shift (Following U.S. Central Time Zone) Duties and Responsibilities Intake and triage PA requests from providers, pharmacy, and patients; confirm eligibility and benefits. Gather required...
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Utilization Review Nurse, USRN
3 days ago
Pasig City, Philippines Visaya KPO Full timeRole 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...
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Healthcare CSR For Prior Authorization
1 week ago
Mandaluyong City, National Capital Region, Philippines ISTA Solutions, Inc. Full time ₱180,000 - ₱300,000 per yearDescriptionISTA Solutions, an outsourcing/offshoring company, is in search of an experienced Healthcare Customer Service Representative to join our rapidly expanding team. As a member of our team, you will have the opportunity to work with highly skilled professionals, who prioritize employee satisfaction and work-life balance. At ISTA Solutions, we pride...
