Clinical Authorization Representative

4 days ago


Pasig, National Capital Region, Philippines Med-Metrix, LLC Full time

Med-Metrix, LLC is committed to providing high-quality healthcare services to our patients. To achieve this goal, we need talented professionals like you to join our team. As a Clinical Authorization Representative, you will play a critical role in ensuring that our patients receive timely and effective access to healthcare services.

The ideal candidate will have a strong understanding of managed care insurance and regulatory guidelines, as well as excellent communication and problem-solving skills. Proficiency in MS Office, particularly Excel, is also essential. Additionally, knowledge of medical terminology and CPT codes is a plus.

Your primary responsibility will be to work effectively with insurance companies to obtain pre-certification for services. This involves placing calls, faxing requests, and maintaining accurate records. You will also be responsible for reviewing claim denials, verifying medical insurance information, and accurately entering patient data into our computer system.

We offer a competitive compensation package, comprehensive benefits, and opportunities for growth and development. If you are a motivated individual with a passion for delivering exceptional patient care, we encourage you to apply.



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