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Healthcare Insurance Pre-Authorization Coordinator

1 week ago


Manila, National Capital Region, Philippines Med-Metrix Full time

Med-Metrix seeks an experienced Clinical Data Entry Specialist to join our team.

Job Description

This position involves working independently from assigned work queues, prioritizing tasks, and maintaining high productivity standards.

The successful candidate will have extensive knowledge of medical terminology, CPT codes, modifiers, and diagnosis codes.

  • Demonstrated knowledge of varied managed care insurance and regulatory guidelines is essential.
  • Able to understand/interpret documented clinical information and relay pertinent medical/clinical information to the insurance company.
  • Proficiency with MS Office, particularly Excel, is a must.
  • Experience with GE Centricity or EPIC PB is preferred but not necessary.

We offer competitive benefits and opportunities for internal mobility.

Qualifications
  • High School diploma or equivalent required.
  • Minimum of 2-3 years of healthcare or physician's office related experience in obtaining and handling pre-authorizations.
  • Strong communication skills, both written and verbal, are necessary.