Healthcare Services Coordinator

17 hours ago

Pasig, National Capital Region, Philippines beBeeAuthorization Full time ₱600,000 - ₱800,000
Prior Authorization Specialist Job Description

Obtaining prior authorizations is a crucial aspect of healthcare services. As a skilled professional, you will be responsible for reviewing and processing all types of prior authorization requests.

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
  • Accurately document all patient, pharmacy, and insurance carrier interactions in electronic medical records (EMR)
  • 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 the 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

This role requires full-time commitment with an 8-hour day, Monday-Friday schedule, and fixed weekends off.

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