Medical Service Approver

6 hours ago


Bacoor, Calabarzon, Philippines beBeeAuthorization Full time $54,000 - $83,000
Prior Authorization Professional

Our organization seeks a seasoned professional to assume the role of Prior Authorization Specialist. As a key member of our healthcare division, you will be responsible for obtaining all types of prior authorizations for medical services, procedures, and medications.

Key Responsibilities:
  • Review and process prior authorization requests for medical services, procedures, and medications.
  • Verify insurance information and eligibility.
  • Handle patient inquiries regarding authorizations.
  • Provide necessary prior authorization documentation to patients for completion and signature. Review all forms for completeness and accuracy.
  • Accurately document all patient, pharmacy, and insurance carrier interactions in electronic medical records.
  • Coordinate with healthcare providers and insurance companies to obtain necessary authorizations.
  • Ensure accurate and timely documentation of authorization requests and approvals.
  • Collaborate with medical billing team to resolve any issues or denials.
  • Maintain up-to-date knowledge of insurance guidelines and procedures.
Requirements:
  • Proven 3-5 years of experience as a Prior Authorization Specialist in US Healthcare.
  • 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.


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