Senior Healthcare Authorization Coordinator

1 day ago


Mandaue City, Central Visayas, Philippines beBeeAuthorization Full time $50,000 - $70,000

Job Opportunity:

We are seeking a skilled Prior Authorization Specialist to support our healthcare division.

The Prior Authorization Specialist will be responsible for obtaining all types of prior authorizations, including biologic medications, procedures, prescriptions and out-patient testing.

Key Responsibilities:

  • Review and process prior authorization requests
  • Verify insurance information and eligibility
  • Handle patient inquiries regarding authorizations
  • Provide necessary prior authorization documentation to patients
  • Document patient interactions in EMR
  • Coordinate with healthcare providers and insurance companies
  • Ensure accurate and timely documentation of authorization requests and approvals
  • Collaborate with medical billing team to resolve issues or denials
  • Maintain knowledge of insurance guidelines and procedures
  • Complete other tasks as assigned by providers through EMR/EHR
  • Schedule follow-up appointments, injections and treatments

Requirements:

  • 3-5 years of experience as a Prior Authorization Specialist
  • Strong knowledge of insurance verification processes and payer/billing guidelines
  • Excellent communication and interpersonal skills
  • Detail-oriented with strong organizational skills
  • Ability to work independently and meet deadlines
  • Comfortable working in a remote setup

System Requirements:

  • Device (Desktop or Laptop)
  1. Processor:
  • Intel Core i5 (or higher) or AMD Ryzen 5 (or higher)
  • Apple M1 chip or newer
RAM:
  • Minimum of 8GB or higher for optimal performance
Operating System:
  • Windows: Windows 11 Pro (Windows 10 Pro is acceptable but not preferred)
  • Mac: macOS compatible with M1 or newer chips
Hard Disk:
  • At least an SSD for faster processing and performance
Internet Connectivity:
  • Minimum speed of 50 Mbps via a wired connection
Power Supply:
  • Backup power supply (optional)

Benefits:

  • Permanent Work From Home
  • Weekly Paychecks
  • Fixed Weekends Off
  • HMO Reimbursement on your 90th day
  • Thriving Company Culture
  • Exclusive Specialized Training Programs
  • Highly Competitive Salary


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