Medical Authorization Coordinator

2 weeks ago


Manila, National Capital Region, Philippines Med Supply US Full time
Job Title: Medical Prior AuthorizationAbout the Role

At Med Supply US, we are seeking a highly skilled Medical Prior Authorization Specialist to join our team. This role plays a crucial part in ensuring that medical services and procedures are approved by insurance companies before they are rendered.

Key Responsibilities
  1. Prior Authorization Management: Review and evaluate medical service requests to determine if prior authorization is required. Gather all relevant medical documentation, such as medical records and test results, to support the authorization request.
  2. Insurance Verification: Verify patient insurance coverage and obtain necessary insurance information to ensure accurate billing and reimbursement.
  3. Documentation and Communication: Prepare and submit prior authorization requests to insurance companies, adhering to their specific guidelines and requirements. Maintain accurate and organized records of all authorization requests and outcomes. Communicate with healthcare providers and patients to clarify requirements and provide updates on the status of authorizations.
  4. Policy and Compliance: Stay up-to-date with insurance policies and industry regulations related to prior authorizations. Ensure compliance with legal and regulatory requirements, including patient privacy and confidentiality (HIPAA).
  5. Appeals and Denials: Assist with appeals and denials related to prior authorizations, working closely with healthcare providers and insurance companies to gather necessary information and submit appeals within specified timelines.
  6. Quality Assurance: Perform periodic audits of prior authorization processes to identify gaps or inefficiencies. Collaborate with team members to implement process improvements and enhance overall efficiency and accuracy.
Requirements
  • High school diploma or equivalent.
  • Prior experience in healthcare administration, medical billing, or insurance coordination is highly preferred.
  • Strong knowledge of medical terminology, CPT codes, ICD-10 codes, and insurance procedures.
  • Familiarity with insurance plans, prior authorization requirements, and reimbursement processes.
  • Excellent communication skills and attention to detail.


  • Manila, National Capital Region, Philippines Med Supply US Full time

    Job Title: Medical Prior Authorization SpecialistAt Med Supply US, we are seeking a highly skilled Medical Prior Authorization Specialist to join our team. As a key member of our healthcare team, you will play a crucial role in ensuring that medical services, procedures, and medications are approved by insurance companies or third-party payers before they...


  • Manila, National Capital Region, Philippines SYNTEL INFOTECH, INC. doing business as Atos Syntel Full time

    Obtain Prior Authorizations for medical services, including medications, diagnostic imaging, and treatments. Communicate with insurance companies, providers, and healthcare teams to obtain approvals for services. Accurately document interactions and outcomes in patient records and authorization tracking systems.Key Responsibilities:Obtain Prior...


  • Manila, National Capital Region, Philippines SYNTEL INFOTECH, INC. doing business as Atos Syntel Full time

    Obtain Prior Authorizations for Radiology Services, ensuring compliance with insurance policies and procedures, and coordinate with healthcare teams to provide timely patient care.

  • Medical Specialist II

    3 weeks ago


    Manila, National Capital Region, Philippines Valenzuela City Medical Center - Government Full time

    Medical Specialist II - Part Time in NCRJob Summary: A Medical Specialist II will perform medical examinations and provide medical advice to patients in a part-time capacity.Key Responsibilities: Conduct medical examinations and assessments Provide medical advice and treatment options Develop and implement patient care plans Collaborate with healthcare...


  • Manila, National Capital Region, Philippines Career Professionals, Inc. Full time

    Job SummaryWe are seeking a skilled Medical Care Coordinator to join our team at Career Professionals, Inc. As a key member of our healthcare team, you will be responsible for providing exceptional patient care and administrative support in a fast-paced medical environment.Key ResponsibilitiesAdminister medical services for pre-employment, annual physical...


  • Manila, National Capital Region, Philippines Addmore Outsourcing Inc. Full time

    Job Title: Medical ReceptionistAt Addmore Outsourcing Inc., we are seeking a skilled Medical Receptionist to join our team. The ideal candidate will possess strong technical skills, excellent communication abilities, and a friendly demeanor.Key Responsibilities:• Manage patient scheduling and handle online inquiries• Coordinate appointments with medical...


  • Manila, National Capital Region, Philippines Brunt Work Full time

    Seeking English-Speaking Medical Administrative Assistant to support office operations, manage faxes, lab reports, patient referrals, and prior authorizations, enhancing patient experience through efficient administrative processes. Responsibilities include organizing electronic faxes, filing medical documents, assisting with patient referrals, handling...


  • Manila, National Capital Region, Philippines InLife Health Care Full time

     Participates in strategy development meetings with the Chief Medical Officer (CMO) and Deputy CMO to develop and implement innovative procedures, regulations, and programs to improve efficiency, quality, and customer service of the Medical and Provider Services Division.  Key responsibilities include: Acts as co-lead in dealings with provider groups for...


  • Manila, National Capital Region, Philippines Addmore Outsourcing Inc. Full time

    Medical Receptionist Job DescriptionWe are seeking a highly organized and detail-oriented Medical Receptionist to join our team at Addmore Outsourcing Inc. as a remote employee. The ideal candidate will have excellent communication skills, technical proficiency, and a passion for delivering exceptional customer service.Key Responsibilities:Patient...

  • Medical Director

    4 weeks ago


    Manila, National Capital Region, Philippines BillEase Full time

    About UsAt BillEase, we strive to provide a seamless and convenient shopping experience for our customers. Our brand embodies the core of our name, BillEase, which means speed or swiftness in Filipino.The JobProvide prompt and effective treatment of illnesses and injuries, ensuring employees receive the necessary care without requiring hospital emergency...

  • Clinical Pharmacist

    4 weeks ago


    Manila, National Capital Region, Philippines Commonwealth Hospital and Medical Center Full time

    We are seeking a Clinical Pharmacist to join our team at CommonwealthMed, a Level 2 hospital with 140 authorized beds and a staff count of over 600 direct and outsourced staff. The successful candidate will be responsible for drug therapy assessment, patient counseling, and patient medication history.Responsibilities:Assess drug therapy and provide...

  • Medical Officer

    2 weeks ago


    Manila, National Capital Region, Philippines BillEase Full time

    About BillEaseAt BillEase, we aim to make shopping and payment processes seamless and convenient for our customers. Our company embodies the core of our brand name, which means speed or swiftness in Filipino.The JobKey ResponsibilitiesProvide prompt treatment of illnesses and injuries that do not require emergency room care, referring employees when...


  • Manila, National Capital Region, Philippines Private Advertiser Full time

    Job DescriptionWe are seeking a Medical Coordinator to plan, monitor, and direct the operations of school clinics, ensuring the highest quality delivery of medical services to students and associates.Responsibilities:Plan and implement medical services for students and associatesMonitor and evaluate the performance of school clinicsDirect and supervise...

  • Medical Encoder

    4 weeks ago


    Manila, National Capital Region, Philippines Exact Check Diagnostic Center Inc. Full time

    A Medical Encoder accurately encodes and releases patient results for assigned departments. Key Responsibilities:Encodes patient records in CIinic Information System.Proofreads patient records for errors.Complies with medical record standards and maintains patient confidentiality.Reviews patient records for accuracy.Coordinates with staff on unclear...

  • Medical Encoder

    3 weeks ago


    Manila, National Capital Region, Philippines Exact Check Diagnostic Center Inc. Full time

    Medical Encoder responsible for accurately encoding and releasing patient results, proofreading records, and maintaining confidentiality. Key responsibilities include encoding patient records, proofreading results, complying with standards, reviewing records, coordinating with staff, performing record audits, and ensuring completeness and accuracy of...


  • Manila, National Capital Region, Philippines Bandwell Pharmaceuticals Inc. Full time

    summary of job description: coordinate and implement medical education programs, manage relationships with key opinion leaders, and provide administrative support to ensure timely execution of events and projects.**Job Responsibilities:** Coordinate and implement medical education programs, including logistics, budget, and materials. Arrange venues and...

  • Executive Assistant

    4 weeks ago


    Manila, National Capital Region, Philippines Makati Medical Center Full time

    We are seeking a highly capable and organised Executive Assistant to provide comprehensive administrative support to the executive team at Makati Medical Center. This role will play a vital part in ensuring the smooth running of our organisation. The successful candidate will be responsible for providing high-level administrative assistance, handling...


  • Manila, National Capital Region, Philippines InLife Health Care Full time

    The Head of Medical Support Center leads a team to provide effective support to insured members. They assist members during outpatient availments, ensuring proper customer service and policy implementation.Main Responsibilities:Lead in assisting IHC members during medical service availments.Monitor and adjust manpower complement based on call census and...


  • Manila, National Capital Region, Philippines WHR Global Consulting Full time

    Medical Sales Executive Job DescriptionAt WHR Global Consulting, we are seeking a highly motivated and results-driven Medical Sales Executive to join our team. As a Medical Sales Executive, you will be responsible for communicating the benefits of our company's products to drive sales and build strong relationships with our customers.Key...


  • Manila, National Capital Region, Philippines Tenet Global Business Center, Inc. Full time

    Join the Conifer Health team and transform the healthcare industry! With 30 years of expertise, we help clients strengthen their financial and clinical performance, serve their communities, and succeed in the business of healthcare. Our solutions empower organizations to transition from volume to value-based care, enhance the patient experience, and improve...