Medical Priorities Coordinator

14 hours ago

Manila, National Capital Region, Philippines beBeeAuthorization Full time ₱960,000 - ₱1,380,000

Prior Authorization Specialist Job Title

  • A skilled professional is required to handle various tasks related to prior authorizations.

About the Role

The ideal candidate will have strong knowledge of insurance verification processes and payer/billing guidelines, as well as excellent communication and interpersonal skills. They must be able to work independently and meet deadlines.

Key Responsibilities

  • Review and process prior authorization requests for medical services, procedures, and medications
  • Verify insurance information and eligibility
  • Handle patient inquiries regarding authorizations
  • Provide necessary prior authorization documentation to patients for completion and signature
  • Accurately document all patient, pharmacy, and insurance carrier interactions in an electronic medical record (EMR)
  • Coordinate with healthcare providers and insurance companies to obtain necessary authorizations
  • Ensure accurate and timely documentation of authorization requests and approvals
  • Collaborate with a medical billing team to resolve any issues or denials
  • Maintain up-to-date knowledge of insurance guidelines and procedures
  • Complete other tasks assigned by healthcare providers through an electronic medical record (EMR)
  • Schedule follow-up appointments, biologic injections, and photodynamic therapy treatments
  • Assist a pathology department with notifying patients of pathology results via telephone
  • Fulfill organizational responsibilities, which may include respecting and promoting patient rights, responding appropriately to emergency situations, sharing problems relating to patients and/or staff with a supervisor in a timely manner
  • Provide safe patient-centered, compassionate, and competent patient care

About You

To succeed in this role, you should possess strong analytical and problem-solving skills, as well as the ability to multitask and prioritize tasks effectively. Excellent communication and interpersonal skills are also essential for success in this position.

Requirements

  • Bachelor's degree in a relevant field
  • 1+ years of experience in a similar role
  • Strong knowledge of insurance verification processes and payer/billing guidelines
  • Excellent communication and interpersonal skills
  • Ability to work independently and meet deadlines

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