Prior Authorization Specialist
6 days ago
Prior Authorization Specialist – Connext (Pasig, Philippines) Connext Global Solutions is a dedicated team of business process outsourcing experts. We are currently hiring a Prior Authorization Specialist to work with our client in the United States. What’s in it for you? Competitive compensation Perfect Attendance Bonus Life insurance HMO insurance Great company culture Annual merit increase 25% night differential Php 5,000 sign‑on bonus Job Responsibilities The Prior Authorization Specialist conducts insurance verifications and obtains prior authorizations for a diverse range of services. Verify patient eligibility and benefits via portal and/or phone call, collecting referral and authorization requirements across multiple payers, states, insurance products, and specialties within customer SLAs. Work closely with providers to collect accurate patient and medical records and communicate authorization decisions. Required Qualifications Minimum of one year experience with medical billing and/or understanding of benefits including deductibles, co‑insurance, out‑of‑pocket and benefits exclusions. Familiar with provider software, including Electronic Medical Record Systems (EMR/EHR) and Practice Management Systems (PMS). Experience with HMOs, PPOs, POSs, EPOs, Medicare, Medicaid and understanding of each through the referral and authorization process. Employment Details Full‑time | Entry level | Health Care Provider | Health and Human Services #J-18808-Ljbffr
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Prior Authorization Specialist
5 days ago
Pasig, National Capital Region, Philippines Connext Global Solutions Inc Full time ₱900,000 - ₱1,200,000 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 a Prior Authorization Specialist who will be working with Connext's Client in the United...
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Prior Authorization Specialist
1 week ago
Pasig, National Capital Region, Philippines Connext Full time ₱900,000 - ₱1,200,000 per yearConnext Global Solutionsis 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 anPrior Authorization Specialistwho will be working with Connext's Client...
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Prior Authorization Specialist
6 days ago
Pasig, Philippines HRTX Full timeQualifications: Bachelor's degree in any allied medical course At least 6 months of experience in prior authorization Strong communication skills, both verbal and written Willing to work onsite Job Description: Contacting insurance companies to request prior authorization for specific medical procedures or prescriptions. Verifying Information: Checking...
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Prior Authorization Specialist
7 days ago
Pasig, Philippines HRTX Full timeQualifications: Bachelor's degree in any allied medical courseAt least 6 months of experience in prior authorizationStrong communication skills, both verbal and writtenWilling to work onsite Job Description: Contacting insurance companies to request prior authorization for specific medical procedures or prescriptions.Verifying Information: Checking patient...
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Prior-Authorization Nurses USRN
10 hours ago
Pasig, Philippines Visaya KPO Full timeWE'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...
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Prior-Authorization Nurses USRN
5 days ago
Pasig, National Capital Region, Philippines Visaya Knowledge Process Outsourcing Corporation Full time ₱450,000 - ₱900,000 per yearWE'RE HIRING – Prior-Authorization Nurse (PHRN/USRN) – Pioneer Account Location: Ortigas (Onsite) Company: VISAYABe part of a pioneer team supporting patient care through prior-authorization and utilization review services. Qualifications:Graduate of BS Nursing with an active PHRN or USRN licenseAt least 3–5 years of solid experience in:Utilization...
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Prior-Authorization Nurses USRN
4 weeks ago
Pasig City, Philippines Visaya KPO Full timeWE'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...
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Pasig, Philippines Virtual Rockstar Careers Full timeInsurance Verification and Authorization Specialist - Virtual Assistant Virtual Rockstar is hiring an Insurance Verification & Authorization Specialist on behalf of a privately owned physical therapy practice that provides health, fitness, and wellness services to community athletes of all ages and abilities. The Insurance Verification & Authorization...
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Healthcare Prior Authorization_Up to 40K Ortigas
3 weeks ago
Pasig, Philippines HR TechX Corp. Full timeJob Overview We are seeking a detail-oriented and motivated Prior Authorization Specialist with a background in the medical allied field. The successful candidate will be responsible for handling prior authorization requests, ensuring accuracy and compliance with payer requirements, and supporting healthcare providers in securing approvals for medical...
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Utilization Review Nurse, USRN
10 hours ago
Pasig, 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...