Medical Authorization Specialist

22 hours ago


Pasig, National Capital Region, Philippines Visaya Knowledge Process Outsourcing Full time

Visaya Knowledge Process Outsourcing is seeking a skilled Medical Authorization Specialist to join our team.

About the Role

We are looking for an experienced Clinical Nurse Auditor to work with us in obtaining referrals from clients, reviewing medical records, and utilizing various systems to document case and updated account statuses.

Key Responsibilities:
  • Collaborate with Eligibility Enrollment Specialists to secure referrals from clients
  • Review medical records to verify required authorizations
  • Utilize client-host systems to document case and updated account statuses when applicable
  • Check authorization statuses through state or payor portals
Qualifications
  • Education: Bachelor's Degree in Nursing
  • License/Certification: PH Registered Nurse
  • Experience: Clinical authorizations, medical records, and customer service
  • Language: Fluent English verbal and written communication
  • Special Skills: Microsoft Office

At Visaya Knowledge Process Outsourcing, we offer a dynamic work environment that values expertise and collaboration. If you are a motivated and detail-oriented Clinical Nurse Auditor looking to leverage your skills in a fast-paced setting, we encourage you to apply for this exciting opportunity.



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