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Prior Authorization Specialist

1 week ago

Manila, National Capital Region, Philippines Access Healthcare Services Manila, Inc. Full time

Access Healthcare Services Manila, Inc. is looking for a skilled Prior Authorization Specialist to join their team.

Key Responsibilities:
  1. The ideal candidate will review and process prior authorization requests from healthcare providers.
  2. They will verify patient insurance coverage and ensure compliance with payer requirements.
  3. Coordinating with healthcare providers, insurance companies, and patients to resolve issues related to authorization requests is essential.
  4. Maintaining accurate and detailed documentation of all interactions and transactions is critical.
  5. The candidate must ensure compliance with US healthcare regulations and company policies.
  6. Meeting performance metrics, including quality, accuracy, and turnaround time, is essential.
Qualifications:
  1. Excellent verbal and written communication skills are necessary.
  2. A strong attention to detail and ability to multitask in a fast-paced environment are required.
  3. BPO International experience in Healthcare Outbound Prior Authorization is a must.
  4. Knowledge in Benefits and Authorization is essential.
  5. Experience in Provider side is required.
Why Choose Us?
  1. We offer a competitive salary and benefits package.
  2. Opportunities for career growth and advancement in the BPO healthcare industry are available.
  3. A supportive and inclusive work environment.