Prior Authorization Specialist

2 weeks ago


Manila, National Capital Region, Philippines My Sahay Full time

About the Role

We are looking for a Prior Authorization Specialist to join our team in Parañaque City, Metro Manila. This is a full-time hybrid role, with paid training conducted onsite for 2 weeks up to 30 days, followed by a flexible hybrid work setup. You will be responsible for managing prior authorization requests, ensuring efficient approvals, and delivering excellent customer support.

What You'll Be Doing

  • Reviewing and processing prior authorization requests from healthcare providers and patients.
  • Coordinating with medical professionals to gather required documentation.
  • Communicating with insurance companies to ensure compliance with policies and procedures.
  • Keeping accurate records of authorization requests and approvals.
  • Providing updates and resolving customer concerns promptly.
  • Contributing to process improvements for efficiency and accuracy.

What We're Looking For

  • At least 2 years of experience in healthcare administration, customer service, or a related field.
  • Strong understanding of prior authorization processes in the healthcare industry.
  • Excellent communication and interpersonal skills to interact with providers, patients, and insurance companies.
  • Proficiency in data entry, record-keeping, and attention to detail.
  • Knowledge of healthcare insurance policies and regulations.
  • Ability to work efficiently in a fast-paced environment and manage multiple tasks effectively.
  • Strong problem-solving and critical thinking skills.

What We Offer

  • Competitive salary and benefits package.
  • Paid training with a structured onboarding process.
  • Career growth opportunities within the company.
  • A supportive and collaborative work environment.
  • Hybrid work setup after training for better work-life balance.

About Us

We are a leading healthcare solutions provider in the Philippines, dedicated to delivering high-quality service and support to our clients. Our mission is to enhance healthcare accessibility and efficiency by ensuring smooth and timely prior authorization processes.

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