Medical Prior Authorization Specialist: Healthcare Navigator
1 month ago
We are seeking a skilled Medical Prior Authorization Specialist to join our team at Med Supply US. As a key member of our healthcare team, you will play a vital role in ensuring that medical services and procedures are approved by insurance companies.
Responsibilities:- Prior Authorization Management: Review and evaluate medical service requests to determine if prior authorization is required. Gather relevant medical documentation to support the authorization request.
- Insurance Verification: Verify patient insurance coverage, including benefits, eligibility, and limitations. Obtain and document necessary insurance information for accurate billing and reimbursement.
- Documentation and Communication: Prepare and submit prior authorization requests to insurance companies, adhering to their specific guidelines. Maintain accurate records of all authorization requests, follow-up activities, and outcomes.
- Policy and Compliance: Stay up-to-date with insurance policies, guidelines, and industry regulations related to prior authorizations. Ensure compliance with legal and regulatory requirements, including patient privacy and confidentiality (HIPAA).
- Appeals and Denials: Assist with appeals and denials related to prior authorizations, working closely with healthcare providers and insurance companies.
- Bachelor's degree in a related field or equivalent experience
- Prior experience in healthcare administration, medical billing, or insurance coordination
- Strong knowledge of medical terminology, CPT codes, ICD-10 codes, and insurance procedures
- Excellent communication skills, both written and verbal
- Attention to detail and ability to organize and prioritize tasks in a fast-paced environment
$65,000 - $85,000 per year
-
Prior Authorization Specialist
3 weeks ago
Davao City, Davao, Philippines Med Supply US Full timeJob DescriptionPrior Authorization SpecialistWe are seeking a highly skilled Prior Authorization Specialist to join our team at Med Supply US. In this role, you will play a crucial part in ensuring that medical services, procedures, and medications are approved by insurance companies or third-party payers before they are rendered or...
-
Medical Prior Authorization Specialist
2 months ago
Davao City, Davao, Philippines Med Supply US Full timeMed Supply US is seeking a highly skilled Medical Prior Authorization Specialist to join our team. This role plays a vital part in ensuring that medical services, procedures, and medications are approved by insurance companies before they are rendered or prescribed.Key Responsibilities:Prioritize and manage prior authorization requests, gathering all...
-
Medical Authorization Coordinator
7 days ago
Davao City, Davao, Philippines Med Supply US Full timeJob SummaryWe are seeking a highly skilled Medical Authorization Coordinator to join our team at Med Supply US. This role is responsible for ensuring that medical services, procedures, and medications are approved by insurance companies or third-party payers before they are rendered or prescribed.Main ResponsibilitiesPrior Authorization Management: Review...
-
Medical Services Coordinator
2 months ago
Davao City, Davao, Philippines Med Supply US Full timeAbout Med Supply US: A Leading Medical Supply CompanyEstimated Salary: $45,000 - $65,000 per yearJob OverviewWe are seeking a highly skilled and compassionate Healthcare Intake Specialist to join our team at Med Supply US. As a key member of our healthcare facility, you will play a vital role in facilitating the intake process for patients seeking medical...
-
Healthcare Intake Coordinator
3 weeks ago
Davao City, Davao, Philippines Med Supply US Full timeAbout Med Supply US: We are a medical supply company providing diabetic supplies to patients and healthcare professionals.Job SummaryWe seek a dedicated Healthcare Intake Coordinator to facilitate the intake process for patients seeking medical services. The ideal candidate will have excellent communication skills, attention to detail, and the ability to...
-
Healthcare Service Representative Specialist
1 month ago
Davao City, Davao, Philippines NeksJob Philippines Full timeJob OverviewNeksJob Philippines is seeking a highly skilled and compassionate Healthcare Customer Service Representative to join our team. As the primary point of contact for patients, this role requires exceptional communication and problem-solving skills.About the RoleThe successful candidate will work in a fast-paced environment, efficiently handling...
-
Healthcare Operations Coordinator
7 days ago
Davao City, Davao, Philippines Med Supply US Full timeAbout Med Supply US:We are a medical supply company dedicated to providing diabetic supplies to patients and healthcare professionals.Job SummaryAs a Healthcare Operations Coordinator, you will play a vital role in ensuring the smooth operation of our healthcare facility. You will be responsible for coordinating patient intake processes, verifying insurance...
-
Medical Data Entry Specialist
7 days ago
Davao City, Davao, Philippines Sixeleven Global Services & Solutions, Inc. Full timeJob Overview">Sixeleven Global Services & Solutions, Inc. is a leading provider of quality services in Sales, Marketing, and Customer Support.We are currently seeking highly skilled Medical Data Entry Specialists to join our team.About the Role">As a Medical Data Entry Specialist, you will be responsible for assisting with charting documentation, MRI request...
-
Davao City, Davao, Philippines TASQ Staffing Solutions Full timeWe are seeking a seasoned USRN Healthcare Team Manager to join our team at TASQ Staffing Solutions. As a key member of our healthcare team, you will be responsible for overseeing the utilization management process and ensuring that patients receive the best possible care.About the Role:We offer an estimated annual salary range of $80,000 - $120,000 depending...
-
Patient Information Coordinator
1 month ago
Davao City, Davao, Philippines Med Supply US Full timeAbout Med Supply US:We are a medical supply company dedicated to providing diabetic supplies to patients and healthcare professionals. Our team is committed to delivering exceptional patient care, and we are seeking a full-time Patient Information Coordinator to join our staff.Estimated Salary: $45,000 - $60,000 per yearJob Summary:The Patient Information...
-
Davao City, Davao, Philippines Talent Outsourcing Channel Solutions Full timeAt Talent Outsourcing Channel Solutions, we are seeking a dedicated and skilled Healthcare Support Specialist to join our team on-site in Davao City. This is a full-time position that requires excellent communication skills and the ability to work in a dynamic environment.About UsTalent Outsourcing Channel Solutions is a leading provider of outsourced talent...
-
Pharmaceutical Specialist
1 month ago
Davao City, Davao, Philippines Amesco Drug Corporation Full timeAbout Amesco Drug CorporationAt Amesco Drug Corporation, we strive to provide top-notch healthcare services to our community.Job OverviewWe are seeking a skilled Pharmaceutical Specialist to join our team. This is a full-time position with a competitive salary of approximately $95,000 per year.Job DescriptionMonitor and manage pharmaceutical inventory,...
-
Davao City, Davao, Philippines Talent Outsourcing Channel Solutions Full time**About the Role**Talent Outsourcing Channel Solutions is seeking a reliable and skilled Healthcare CSR to join our team on-site in Davao City. This role requires full-time commitment and flexibility in working schedules.**What We Offer**We offer a competitive salary of 30,000 PHP per month, which is one of the highest in the industry for this position.**Job...
-
Davao City, Davao, Philippines NeksJob Philippines Full timeA successful Healthcare Customer Service Representative at Neksjob serves as the primary point of contact for patients seeking assistance within a healthcare facility.They efficiently handle inquiries, book appointments, and address concerns related to billing, insurance, and treatment options. With a focus on empathy and professionalism, these...
-
Davao City, Davao, Philippines Vital Virtuals Global HR Solutions LLC Full timeAbout Vital Virtuals LLC:We specialize in providing virtual assistance services to the medical industry. Our mission is to support healthcare professionals by offering efficient and reliable administrative support, allowing them to focus on delivering high-quality patient care.Vital Virtuals LLC is seeking a dedicated and detail-oriented Medical and Dental...
-
Client Service Ambassador
1 month ago
Davao City, Davao, Philippines Neksjob Philippines Full timeJob OverviewWe are seeking a skilled and compassionate Client Service Ambassador to join our team at Neksjob Philippines.Key Responsibilities:Deliver exceptional customer satisfaction through professional assistance and communication skills.RequirementsTo be successful in this role, you will need:A minimum of a High School Diploma or equivalent.No prior BPO...
-
Medical Transcriptionist
1 month ago
Davao City, Davao, Philippines Vital Virtuals Global HR Solutions LLC Full timeAbout Vital Virtuals Global HR Solutions LLCWe specialize in providing virtual assistance services to the medical industry, focusing on delivering high-quality patient care by offering efficient and reliable administrative support.Our mission is to support healthcare professionals through our expertise in virtual assistance, allowing them to concentrate on...
-
Data Insights Specialist
1 month ago
Davao City, Davao, Philippines Cyberbacker Careers Full timeJob OverviewCyberbacker Careers is seeking a skilled Data Analyst to join our team. As a Data Analyst, you will be responsible for providing actionable insights to support business growth.Key ResponsibilitiesDevelop and maintain accurate and up-to-date data sets to inform business decisions.Analyze complex data to identify trends and areas for...
-
Healthcare Professional for Occupational Health
1 month ago
Davao City, Davao, Philippines Alsons Development & Investment Corporation Full timeAbout UsAlsons Development & Investment Corporation is a leading real estate company operating in Davao City.Job DescriptionWe are seeking a skilled Company Nurse to join our growing team. As a key member of our occupational health department, you will play a crucial role in ensuring the well-being of our employees.Key Responsibilities:Assist in running the...
-
Healthcare Call Center Representative
1 month ago
Davao City, Davao, Philippines Talent Outsourcing Channel Solutions Full timeWe are seeking a highly skilled and motivated Call Center Agent to join our team at Talent Outsourcing Channel Solutions in Davao.Job Description:A career as a Call Center Agent for Healthcare is an excellent opportunity to work with a dynamic team and utilize your communication skills to provide top-notch customer service. Your primary role will be to...