Prior Authorization Specialist

Medical 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...

We are looking for an experienced Prior Authorization Coordinator to join our team at Tahche Careers. As a key member of our team, you will be responsible for ensuring seamless communication between patients, providers, and insurance companies, streamlining the pre-authorization process and improving patient outcomes.Responsibilities:Verify patient...

Job Duties and ResponsibilitiesPrioritize incoming authorization and referral requests according to queue urgencyReview patient's clinical and chart documentation related to the service submitted by the provider's officeObtain and/or follow up on authorization and referral requests from the patient's payer/s through any of the following methods—depending...

Tahche Careers is seeking a highly skilled Medical Imaging Pre-Authorization Specialist to join our team. In this role, you will be responsible for obtaining pre-certifications and pre-authorizations for procedures and medications, scheduling appointments for outpatient testing with other providers, transcribing and triaging patient calls to physicians, and...

About CyzergWe are a technology company committed to providing innovative solutions for the warehousing industry. With a strong presence across North, Central, and South America, we have established ourselves as experts in increasing business efficiency and competitiveness.Headquartered in Miami, FL, and with branches in the Philippines and India, our...

About IntouchCXIntouchCX is a global leader in customer experience management, digital engagement, and AI and automation solutions. We immerse ourselves in your world with curiosity, creativity, and innovation to deliver exceptional results. For over 20 years, we have scaled with soul to become a disruptive industry leader by building trusted long-term...

We are looking for a skilled Claims Processing Specialist to join our team at Cficoop. In this role, you will be responsible for examining and processing Philhealth claims to ensure accuracy and completeness.ResponsibilitiesScreens and examines Philhealth claims prior to transmittals.Assists patients in completing claim forms.The successful candidate will...

Make your next big career move by applying as KMC Solutions' next CUSTOMER SERVICE REPRESENTATIVE IMedImpact was established over three decades ago by a pharmacist and independent drug store owner who witnessed the struggles families faced with high prescription costs. Committed to making prescription benefits more accessible and understandable, MedImpact...

Make your next big career move by applying as KMC Solutions' next CUSTOMER SERVICE REPRESENTATIVE IMedImpact was established over three decades ago by a pharmacist and independent drug store owner who witnessed the struggles families faced with high prescription costs. Committed to making prescription benefits more accessible and understandable, MedImpact...

Cebu CFI Community Cooperative is a leading cooperative in the country, existing since 1970. It is registered with the Cooperative Development Authority (CDA) and has over 155,000 members. As a healthcare professional, you will be responsible for ensuring that Philhealth claims are submitted on time and accurate.Key ResponsibilitiesMaintain a systematic...

Make your next big career move by applying as KMC Solutions' next CUSTOMER SERVICE REPRESENTATIVE IMedImpact was established over three decades ago by a pharmacist and independent drug store owner who witnessed the struggles families faced with high prescription costs. Committed to making prescription benefits more accessible and understandable, MedImpact...

About the RoleTalentSync Training and Development is looking for a Technical Support Specialist to join our team. As a Technical Support Specialist, you will be responsible for handling customer inquiries related to our UK Tech systems.Key ResponsibilitiesRespond to customer inquiries via phone and emailProvide technical support and troubleshooting...

Cobden & Carter International is looking for a Corporate Lawyer Specialist to provide legal advice and support for the project development in the marine or energy segment.Responsibilities:Provide strategic legal guidance to stakeholders, business partners, and local authoritiesReview and interpret complex laws and regulations related to the sectorDraft and...

We're seeking a Help Desk Specialist to join our team at TORCH Solutions. In this role, you'll be responsible for providing technical assistance and support to our customers.Key Skills and Qualifications:Excellent communication and interpersonal skillsFriendly and professional demeanorStrong problem-solving and critical thinking abilitiesProficiency in using...

Outsourced is a leading Philippines outsourcing company providing dedicated remote staff and offshore staffing services. We specialise in providing staff of the highest quality who will continue to exceed your expectations and provide benchmark offshore solutions to your business. With Outsourced you can scale your organisation quickly, easily and cost...

KMC Solutions is seeking a skilled Compensation Specialist to join our team.About the RoleThe Compensation Specialist will be responsible for ensuring the accurate and timely execution of bi-weekly payroll processing using ADP, Workday, and Oracle EBS. This includes processing manual or out-of-cycle payments, compiling and accurately entering data for new...

The Loan Origination Specialist is responsible for guiding applicants through the loan process.About CC2 - Eastern Aisle Credits Solutions IncWe are committed to delivering high-quality financial services to our customers.Key ResponsibilitiesAssisting applicants in understanding the loan application process.Verifying applicant information and supporting...

Sakura Autoworld Inc. is the leading authorized dealer of Suzuki automobiles in the Philippines, with a presence in multiple locations across the country.We are seeking an Automotive Mechanic Specialist to join our team, responsible for the repair and preventive maintenance of customer vehicles.The ideal candidate will have at least 1 year experience in the...

Key ResponsibilitiesThe Implementation Specialist I will be responsible for:Collaborating with cross-functional teams to ensure smooth implementation of client projects.Reviewing and analyzing data for discrepancies or inaccuracies and correcting any incompatibilities in information within the system.Providing quality control on new and existing clients to...

On-site - Cebu 1-3 Yrs Exp Bachelor Full-timeJob DescriptionAn Accounting Specialist manages financial records, processes transactions, and ensures accuracy in financial reporting. They support budget preparation, invoicing, reconciliations, and compliance with tax regulations, helping maintain the financial health of an organization.RequirementsStrong...