Prior Authorization Coordinator

1 day ago

Davao City, Davao, Philippines beBeeAuthorization Full time $80,000 - $100,000

We are currently seeking a skilled professional to fill the role of Prior Authorization Coordinator. The ideal candidate will be responsible for managing all aspects of prior authorizations, including reviewing and processing requests, verifying insurance information, and coordinating with healthcare providers and insurance companies.

Key Responsibilities:
  • Prior Authorization Management: Review and process prior authorization requests for medical services, procedures, and medications.
  • Insurance Verification: Verify patient insurance information and eligibility.
  • Patient Communication: Handle patient inquiries regarding authorizations and provide necessary documentation for completion and signature.
  • Documentation: Accurately document all patient, pharmacy, and insurance carrier interactions in our electronic medical record system.
  • Cross-Functional Collaboration: Coordinate with healthcare providers and insurance companies to obtain necessary authorizations.
  • Timely Documentation: Ensure accurate and timely documentation of authorization requests and approvals.
Requirements:
  • A minimum of 3-5 years of experience as a Prior Authorization Specialist in the US Healthcare industry.
  • Strong knowledge of insurance verification processes and payer/billing guidelines.
  • Excellent communication and interpersonal skills to work effectively with patients, providers, and insurers.
  • Detail-oriented with strong organizational skills.
  • Ability to work independently and meet deadlines.
  • Comfortable working in a remote setup.

The successful candidate will possess excellent analytical and problem-solving skills, with the ability to prioritize tasks and manage multiple projects simultaneously. If you are a highly organized and detail-focused individual with a passion for healthcare, we encourage you to apply for this exciting opportunity.

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