Medical Authorization Expert

5 days ago


Manila, National Capital Region, Philippines Cognizant Technology Solutions Philippines Inc. Full time
What You'll Be Doing:

As a Pharmacy Support Professional, you will be responsible for providing clinical support to healthcare facilities and insurance companies. This includes coordinating preauthorizations, managing documentation, and following up on authorization requests.

Responsibilities:
  • Coordination with Billing Teams:

    • Deliver all preauthorization documentation to the billing team.
    • Collaborate to resolve discrepancies or missing documentation that could impact claim submissions.
  • Reporting Irregularities:

    • Identify and report any irregularities in facility/insurance processes to UR supervisor promptly.
    • Provide detailed information, including context, parties involved, and supporting documentation.

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