Prior Authorization | Ortigas Site with Differential Pay
3 weeks ago
Connext 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 for a Prior Authorization who will be working with Connext's Client in the United States of America. What's in it for you? Competitive compensation Perfect Attendance Bonus Life insurance HMO Insurance Great company culture 25% Night Differential Annual Increase What is the job? The Prior Authorization is responsible for conducting insurance verifications and obtaining prior authorizations for a diverse range of therapy services, including Physical Therapy, Occupational Therapy, Speech Therapy, Autism Therapy, and Outpatient Behavioral Health. Responsibilities: Verify patient eligibility, benefits, and authorization requirements across multiple payers and specialties. Coordinate with providers to collect medical records and relay authorization decisions. Complete and submit prior authorizations through insurer portals or phone calls. Follow up with insurers to ensure timely approval and provide additional details as needed. Manage multiple authorizations simultaneously while maintaining high performance standards. Adhere to HIPAA regulations and maintain confidentiality of all patient information. Qualifications: At least 1 year of experience in medical billing or understanding of insurance benefits, including deductibles and exclusions. Proficient in EMR/EHR and Practice Management Systems (PMS). Knowledgeable in various insurance types (HMO, PPO, POS, EPO, Medicare, Medicaid) and their referral/authorization processes. Strong grasp of insurance policies, medical billing procedures, and CPT coding. Skilled in navigating insurance portals and communicating with insurers to verify benefits. Demonstrates professionalism, organization, and efficiency while working independently under deadlines. #J-18808-Ljbffr
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Prior Authorization
7 days ago
Manila, National Capital Region, Philippines Connext Global Solutions Inc Full time ₱600,000 - ₱800,000 per yearConnext 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 for an Prior Authorization who will be working with Connext's Client in the United States of...
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manila, Philippines GGAS Services Full timePHRN with Prior Authorization Review Experience in BPO Salary: 45k–50k (depending on last pay) Location: On-site in Ortigas, Manila Can start ASAP Can work night shift Must have at least 1 year prior authorization review experience in BPO Must have bedside experience Must have valid PHRN
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HIRING: PHRN – Prior Authorization
2 weeks ago
Manila, National Capital Region, Philippines Global Group Innovative Services, Inc. Full time ₱360,000 - ₱600,000 per yearHIRING: PHRN – Prior Authorization / UMR ExperienceWork Location: Ortigas / Quezon City / BGCSchedule: Onsite | Night Shift | Monday to FridaySalary Range: ₱45,000 – ₱50,000Start Date: ASAPJoin a leading healthcare BPO organization and take your nursing career to the next level.Qualifications:Must be a Registered Nurse (PHRN) with an active PRC...
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Prior Authorization Specialist
3 days ago
Philippines Portiva Full time ₱360,000 - ₱720,000 per yearPortiva started in 2009 with our mission to help Doctors and Medical Practitioners manage their practices better. Since then, Portiva has grown from a 3-person operation to one of the largest and most successful Medical and Dental Staff Providing Companies in the United States.We are looking for an experienced Prior Authorization Specialist to provide...
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Prior Authorization Specialist
1 week ago
Manila, National Capital Region, Philippines 1840&Co Full time ₱1,500,000 - ₱3,000,000 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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Accounting Associate | Hybrid
4 weeks ago
, Metro Manila, Philippines Connext Global Solutions Inc Full timeOverview Connext 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 for an Accounting Associate who will be working with Connext's Client in the United...
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Medical Prior Authorization
2 weeks ago
Manila, Philippines Med Supply US Full time ₱25,000 - ₱30,000Medical Prior Authorization-Insurance Verification SpecialistPosition Summary:The Prior Authorization Specialist plays a crucial role in the healthcare industry by ensuring that medical services, procedures, and medications are approved by insurance companies or third-party payers before they are rendered or prescribed. They work closely with healthcare...
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US Registered Nurse
1 week ago
Ortigas, Metro Manila, Philippines Nezda Technologies, Inc. Full time ₱30,000 - ₱60,000 per yearURGENT HIRING START ASAP APPLY NOW VIRTUAL PROCESSA. USRN - ORTIGAS, PASIG CITY (TEMPORARY WFH)OFFER AND BENEFITS:UP TO 95,000 SALARY PACKAGE (DEPENDING ON THE EXPERIENCE)HMO, NIGHT DIFFERENTIAL, AND OTHER BENEFITS WILL BE DISCUSS ON THE JOB OFFERMINIMUM QUALIFICATIONS:MUST HAVE ACTIVE USRN AND PHRN LICENSEWITH AT LEAST 1 YEAR INPATIENT CONCURRENT REVIEW MCG...
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Financial Planning
3 weeks ago
, Metro Manila, Philippines Connext Global Solutions Inc Full timeConnext 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 for a Financial Planning & Analysis Analyst who will be working with Connext's Client in the...
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, Metro Manila, Philippines Connext Global Solutions Inc Full timeConnext 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 for a Senior Accountant 1 who will be working with Connext's Client in the United States of...
