Prior Authorization Specialist: Medical Insurance Coordinator

4 days ago


Manila, National Capital Region, Philippines Med Supply US Full time

**Job Title:** Prior Authorization Specialist: Medical Insurance Coordinator

About Med Supply US:

We are a leading medical supply company dedicated to providing high-quality products and services to healthcare professionals. Our team is passionate about delivering exceptional customer service and ensuring that our customers receive the best possible care.

Salary Range:$60,000 - $80,000 per year, depending on experience and location.

Job Description:

We are seeking an experienced Prior Authorization Specialist to join our team. As a Prior Authorization Specialist, you will play a crucial role in ensuring that medical services, procedures, and medications are approved by insurance companies or third-party payers before they are rendered or prescribed.

Main Responsibilities:

  • Review and evaluate medical service requests, including procedures, tests, surgeries, and medications, to determine if prior authorization is required.
  • Verify patient insurance coverage, including benefits, eligibility, and limitations.
  • Prepare and submit prior authorization requests to insurance companies or third-party payers, adhering to their specific guidelines and requirements.
  • Maintain accurate and organized records of all authorization requests, follow-up activities, and outcomes.
  • Communicate with healthcare providers, insurance companies, and patients to obtain additional information, clarify requirements, and provide updates on the status of authorizations.

Requirements:

  • Bachelor's degree in a related field (healthcare administration, medical billing, etc.).
  • Prior experience in healthcare administration, medical billing, or insurance coordination.
  • Strong knowledge of medical terminology, CPT codes, ICD-10 codes, and insurance procedures.
  • Familiarity with insurance plans, prior authorization requirements, and reimbursement processes.
  • Excellent communication skills, both written and verbal.
  • Attention to detail and ability to organize and prioritize tasks in a fast-paced environment.

What We Offer:

  • A competitive salary range ($60,000 - $80,000 per year).
  • Ongoing training and professional development opportunities.
  • A dynamic and supportive work environment.
  • The chance to make a real difference in people's lives.


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