Prior Authorization Specialist

13 hours ago


Lipa City, Calabarzon, Philippines beBeeAuthorization Full time ₱1,200,000 - ₱1,500,000
Job Title: Prior Authorization Specialist

Overview:

This is an exciting opportunity to join our team as a Prior Authorization Specialist. The ideal candidate will have prior experience in insurance verification, authorization management, and patient scheduling.

Responsibilities:

  • Verify patient insurance coverage and obtain authorizations for medications, diagnostic tests, and procedures.
  • Accurately schedule patient appointments, follow-ups, and procedures in coordination with the healthcare team.
  • Manage high-volume inbound and outbound patient calls while maintaining professionalism and empathy.
  • Communicate clearly with patients regarding authorizations, scheduling, and preparation requirements.
  • Collaborate with physicians, nurses, and other staff to ensure smooth patient flow and minimize delays.
  • Maintain accurate documentation in the electronic medical record (EMR) and insurance portals.

Requirements:

  • Minimum 2 years' experience in insurance verification, prior authorizations, and/or medical scheduling.
  • Strong knowledge of insurance processes, benefits verification, and authorization workflows.
  • Excellent spoken English with a neutral or clear accent for effective patient communication.
  • Ability to handle fast-paced environments and manage multiple tasks efficiently.
  • Strong interpersonal skills and a patient-first attitude.
  • Endocrinology or specialty care experience is a plus.


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