Medical Authorization Specialist
22 hours ago
Visaya Knowledge Process Outsourcing is seeking a skilled Medical Authorization Specialist to join our team.
About the RoleWe 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
- 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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Healthcare Authorization Specialist
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