Medical Authorization Specialist

7 days ago


Dasmariñas, Calabarzon, Philippines beBeeAuthorization Full time ₱4,000,000 - ₱8,000,000
Job Title:

Medical Authorization Coordinator

Job Summary:

We seek an experienced medical authorization coordinator to handle prior authorization requests and ensure seamless communication between patients, healthcare providers, and insurance companies.

Responsibilities:
  • Review and process medical service, procedure, and medication authorization requests
  • Verify patient insurance information and eligibility
  • Manage patient inquiries regarding authorizations
  • Provide necessary documentation for patients to complete and sign
  • Accurately document all interactions with patients, pharmacies, and insurance carriers in the electronic medical record system
  • Coordinate with healthcare providers and insurance companies to obtain required authorizations
  • Ensure timely and accurate documentation of authorization requests and approvals
  • Collaborate with medical billing teams to resolve issues or denials
  • Maintain up-to-date knowledge of insurance guidelines and procedures
Requirements:
  • Minimum 3-5 years of experience as a medical authorization specialist in the US healthcare industry
  • Strong understanding of insurance verification processes and payer/billing guidelines
  • Excellent communication and interpersonal skills to effectively interact with patients, healthcare providers, and insurance companies
  • Attention to detail with strong organizational skills
  • Ability to work independently and meet deadlines
  • Comfortable working in a remote, work-from-home setup
  • Able to adapt to graveyard shifts
System Requirements:
  1. Device (Desktop or Laptop)
  • Processor:
  • Windows Devices: Intel Core i5 (or higher) or AMD Ryzen 5 (or higher)
  • Mac Devices: Apple M1 chip or newer
RAM:
  • Minimum 8GB or higher for optimal performance
Operating System:
  • Windows: Windows 11 Pro (Windows 10 Pro is acceptable but not preferred). The operating system must have a legitimate license
  • Mac: macOS compatible with M1 or newer chips
Hard Disk:
  • At least an SSD for faster processing and performance
Internet Connectivity:
  • Minimum speed of 50 Mbps via a wired connection for stability and reliability
  • Recommended backup internet connection
Power Supply:
  • Backup power supply (e.g., UPS or generator) to prevent disruptions during power outages (optional)
What We Offer:
  • Permanent Work From Home
  • Weekly Paychecks
  • Fixed Weekends Off
  • HMO Reimbursement on your 90th day
  • Thriving Company Culture with Complete Autonomy
  • Exclusive Specialized Training Programs
  • Unlock Your Potential with a Highly Competitive Salary


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