Healthcare Specialist

4 days ago


Manila, National Capital Region, Philippines Cognizant Technology Solutions Philippines Inc. Full time
Job Summary:

The Healthcare Specialist 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.

Key Responsibilities:
  1. Coordinating Preauthorizations:

    • Prepare and submit necessary paperwork and documentation to insurance companies for prior authorizations and continuing stay authorizations.
    • Ensure accuracy and completeness of documentation for all levels of care.
  2. Documentation Management:

    • Maintain meticulous records of all communications, authorizations, and follow-ups.
    • Update tracking systems or logs with the status of each request, including approvals, denials, and pending items.
  3. Follow-Up on Authorizations:

    • Track all submitted authorization requests to ensure timely responses from insurance providers.
    • Communicate authorization outcomes to facilities and provide necessary documentation for billing purposes.


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