Prior Authorization Specialist

1 day ago

Taguig, National Capital Region, Philippines beBeePriorAuthorization Full time ₱5,800,000 - ₱8,200,000

Job Title: Prior Authorization Specialist

Job Summary:

We are seeking a highly organized and detail-oriented Prior Authorization Specialist to join our team. This role combines insurance verification and prior authorization duties with patient scheduling, requiring a candidate who can manage both efficiently while delivering exceptional patient service.

Key Responsibilities:
  • Verify insurance coverage and obtain prior authorizations for medications, diagnostic tests, and procedures.
  • Schedule patient appointments, follow-ups, and procedures in coordination with the Endocrinology team.
  • Manage high volumes of inbound and outbound patient calls while maintaining professionalism and empathy.
  • Communicate clearly with patients regarding authorizations, scheduling, and preparation requirements.
  • Collaborate with physicians, nurses, and other staff to ensure smooth patient flow and minimize delays.

Requirements:

  • Minimum 2 years' experience in insurance verification, prior authorizations, and/or medical scheduling.
  • Strong knowledge of insurance processes, benefits verification, and prior authorization workflows.
  • Excellent spoken English with a neutral or clear accent (critical for patient communication).
  • Ability to handle fast-paced environments and manage multiple tasks effectively.
  • Strong interpersonal skills and patient-first attitude.

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