Healthcare Authorization Specialist

1 month ago


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

Job Title: Healthcare Authorization Specialist

About the Job:

We are seeking a skilled Clinical Nurse Auditor to join our team at Visaya Knowledge Process Outsourcing. As a key member of our authorization team, you will be responsible for working closely with our Eligibility Enrollment Specialists to obtain referrals from clients, reviewing medical records to validate required authorizations, and utilizing client-host systems to document case statuses.

Your Responsibilities Will Include:

  • Collaborating with Eligibility Enrollment Specialists to secure client referrals
  • Reviewing medical records to confirm necessary authorizations
  • Utilizing client-host systems to document case updates when applicable
  • Checking authorization statuses through state or payor portals

What We're Looking For:

  • A Bachelor's Degree in Nursing
  • PH Registered Nurse licensure
  • Experience in clinical authorizations, medical records, and customer service
  • Fluent English verbal and written communication skills
  • Proficiency in Microsoft Office

Compensation: The estimated annual salary for this role is $65,000 - $80,000 based on industry standards and location. This figure may vary depending on individual qualifications and experience.

Why Join Our Team: At Visaya Knowledge Process Outsourcing, we value our team members' expertise and dedication. As a Clinical Nurse Auditor, you will have the opportunity to contribute to our mission of delivering exceptional healthcare services while growing your career in a supportive environment.



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