Healthcare Service Coordinator

9 hours ago


San Fernando, Central Luzon, Philippines beBeePrior Full time $70,000 - $85,000
Job Description

As a Prior Authorization Specialist, you will play a pivotal role in ensuring seamless healthcare services. Your primary responsibility is to obtain prior authorizations for various medical services and procedures.

Key Responsibilities:
  1. Authorization Requests: Review and process requests for medical services, procedures, and medications, ensuring timely submissions and follow-ups as necessary.
  2. Insurance Verification: Verify insurance information and eligibility to ensure accurate coverage and payment processing.
  3. Patient Inquiries: Handle patient inquiries regarding authorizations, providing clear explanations and addressing concerns promptly.
  4. Documentation: Accurately document all patient, pharmacy, and insurance carrier interactions in the Electronic Medical Record (EMR).
  5. Coordination: Coordinate with healthcare providers and insurance companies to obtain necessary authorizations, resolving any issues or denials efficiently.

In addition to these responsibilities, you will also assist the pathology department with notifying patients of pathology results via telephone and fulfill organizational responsibilities as assigned.

Required Skills and Qualifications:
  • Experience in prior authorization processes and payer/billing guidelines.
  • Excellent communication and interpersonal skills, with the ability to work independently and meet deadlines.
  • Strong knowledge of insurance verification processes and procedures.
Benefits:

Working as a Prior Authorization Specialist offers a rewarding career opportunity with opportunities for growth and development.

Others:

This role requires a detail-oriented individual who can work effectively in a fast-paced environment, prioritizing tasks and managing multiple projects simultaneously.



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