Prior Authorization Specialist
2 weeks ago
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.
#J-18808-Ljbffr-
Prior Authorization Specialist
4 weeks ago
Manila, National Capital Region, Philippines Connext Full timeConnext Global Solutions 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...
-
Prior Authorization Representative
1 week ago
Manila, National Capital Region, Philippines Access Healthcare Services Manila, Inc. Full timeAccess Healthcare Services Manila, Inc. is seeking an experienced Prior Authorization Representative to join our team.About the Role:This role involves reviewing and processing prior authorization requests from healthcare providers, ensuring compliance with payer requirements, and maintaining accurate documentation of all interactions and transactions.Key...
-
Clinical Prior Authorization Coordinator
1 week ago
Manila, National Capital Region, Philippines Access Healthcare Services Manila, Inc. Full timeAccess Healthcare Services Manila, Inc. is seeking an experienced Clinical Prior Authorization Coordinator to join our team.About the Role:This role involves reviewing and processing prior authorization requests from healthcare providers, ensuring compliance with payer requirements, and maintaining accurate documentation of all interactions and...
-
Medical Allied Prior Authorization Professional
2 weeks ago
Manila, National Capital Region, Philippines Nezda Technologies, Inc. Full timeAbout the Role:The Medical Allied Prior Authorization Professional at Nezda Technologies, Inc. plays a critical role in facilitating prior authorization processes for medical treatments.Key Responsibilities:Review and process prior authorization requests for medical proceduresCollaborate with healthcare providers to ensure accurate documentationAnalyze data...
-
Manila, National Capital Region, Philippines Cobden & Carter International Full timePosition Name: PHRN Prior Authorization – up to 50K salary packageQualifications:A relevant degree in Medical Allied or some degree in college with 1-2 yrs of experience in AuthorizationPHRN license is a plusWith at least 1 year experience in doing Prior AuthorizationWith at least 1 year bedside care experience in an acute setting (clinics are not...
-
Prior Authorization Expert
1 week ago
Manila, National Capital Region, Philippines MED-METRIX INTERNATIONAL PH-I, INC. Full timeRole DescriptionThe Prior Authorization Representative plays a critical role in ensuring that all necessary documentation is completed accurately and efficiently.ResponsibilitiesCoordinates with insurance companies to obtain pre-certification/authorization for services.Reviews patient data to ensure accuracy and completeness.Verifies medical insurance...
-
Prior Authorization Representative
3 weeks ago
Manila, National Capital Region, Philippines MED-METRIX INTERNATIONAL PH-I, INC. Full timeExperience these Xtraordinary benefits when you join Med-Metrix8-Hour Shifts, Fixed Weekends OffDay 1 HMO with 2 of your dependents covered for FREEMedical Cash AllowanceRice AllowanceClothing AllowanceFree Lunch DailyPaid Time OffTraining and Staff DevelopmentEmployee Engagement ActivitiesOpportunities for Internal MobilityThe Prior Authorization...
-
Prior Authorization Coordinator
5 days ago
Manila, National Capital Region, Philippines Cobden & Carter International Full timeAt Cobden & Carter International, we are seeking a highly skilled Prior Authorization Specialist to join our team. This exciting role offers the opportunity to work with experienced healthcare professionals and contribute to the growth of our organization.Salary PackageWe offer a competitive salary package, ranging from 25K to 50K per year, along with a...
-
Prior Auth Pharmacy Specialist
2 weeks ago
Manila, National Capital Region, Philippines GGIS Services Full timeJob SummaryWe are seeking a skilled Pharmacist to join our team as a Prior Auth Specialist. This role involves reviewing and processing prior authorization requests for medications.About the Role:This is an excellent opportunity for a motivated and detail-oriented Pharmacist to join our team. As a Prior Auth Specialist, you will play a critical role in...
-
Healthcare Professional
2 weeks ago
Manila, National Capital Region, Philippines GGIS Services Full timeJob OverviewWe are seeking a skilled Pharmacist to join our team as a Prior Auth Specialist. This role involves reviewing and processing prior authorization requests for medications.Key Responsibilities:Review and process prior authorization requests for medicationsCommunicate with healthcare providers and patients to gather necessary informationWork closely...
-
Medical Authorization Specialist
5 days ago
Manila, National Capital Region, Philippines Med-Metrix Full timeMed-Metrix is seeking a Medical Authorization Specialist to join our dynamic team. This role plays a critical part in the healthcare industry by ensuring patients receive necessary medical services. As a Medical Authorization Specialist, you will work closely with insurance companies to obtain pre-certification for services.Key ResponsibilitiesObtain and...
-
Medical Allied Professional
2 weeks ago
Manila, National Capital Region, Philippines access healthcare Full timeWe are seeking detail-oriented individuals to join our team at Access Healthcare as a Medical Allied Graduate. This role is ideal for fresh graduates with excellent communication skills and a desire to build their careers in a BPO healthcare setting.Key Responsibilities:Review and process prior authorization requests from healthcare providers, ensuring...
-
Pharmacist with UMR/Prior Auth Experience
2 weeks ago
Manila, National Capital Region, Philippines GGIS Services Full timeAbout UsWe are GGIS Services, a leading provider of healthcare solutions. Our team is dedicated to delivering high-quality services to our clients.Job DescriptionWe are seeking a skilled Pharmacist to join our team as a Prior Auth Specialist. This role involves reviewing and processing prior authorization requests for medications.Responsibilities:Review and...
-
Medical Authorization Specialist
1 week ago
Manila, National Capital Region, Philippines MED-METRIX INTERNATIONAL PH-I, INC. Full timeAbout the RoleAs a Prior Authorization Representative at MED-METRIX INTERNATIONAL PH-I, INC., you will play a vital role in obtaining and providing accurate and complete data input for precertification/preauthorization from insurance companies.ResponsibilitiesWork effectively with insurance companies to obtain pre-certification/authorization for...
-
Clinical Authorization Specialist
3 days ago
Manila, National Capital Region, Philippines Private Advertiser Full timeJob Overview:We are seeking a highly motivated and organized individual to join our team as a Clinical Authorization Specialist. In this role, you will be responsible for reviewing authorization requests from servicing providers and making clinical determinations based on submitted clinical documents.Key Responsibilities:Receives additional clinical...
-
Medical Authorization Representative Job
1 week ago
Manila, National Capital Region, Philippines Skilled Wound Care Full timeResponsibilities of the Authorizations Coordinator RoleRequest prior authorizations for services requested by physiciansObtain authorizations for continuation of care for services being rendered by physiciansCommunicate with physicians regarding services not approved
-
Clinical Authorization Specialist
5 days ago
Manila, National Capital Region, Philippines AGS health Full time**Job Description:**We are seeking a skilled Clinical Authorization Specialist to join our team at AGS Health. As a key member of our revenue cycle management team, you will play a crucial role in verifying patient insurance eligibility, benefits, and requirements.**Responsibilities:Contact insurance carriers to verify patient insurance eligibility,...
-
Authorizations Coordinator
1 week ago
Manila, National Capital Region, Philippines Skilled Wound Care Full timeCome and join Skilled Wound Care where an exciting career awaits you Our company is looking for an experienced and motivated Authorizations Coordinator to join our Skilled Wound Care teamResponsibilities:Request for prior authorizations for services requested by MDRequest Authorizations for continuation of care for services being rendered by MDCommunicate...
-
SAP Security and Authorization Specialist
1 week ago
Manila, National Capital Region, Philippines delaware Philippines Full timeSAP Security and Authorization SpecialistWe are a dynamic company looking for an experienced SAP Security and Authorization Specialist to join our team. As a key member of our team, you will be responsible for designing, implementing, and maintaining SAP security and authorization solutions for our clients.You will work closely with our clients to understand...
-
Manila, National Capital Region, Philippines Cobden & Carter International Full timeJoin us at Cobden & Carter International as a Prior Authorization Specialist, where you will play a critical role in facilitating communication between healthcare providers, patients, and insurance companies. With your expertise in prior authorization, you will ensure that patients receive timely access to necessary medical treatments and services.About the...