Healthcare Prior Authorizations Coordinator

1 day ago

Iloilo City, Western Visayas, Philippines beBeeAuthorization Full time ₱17,924 - ₱25,148

Are you seeking a rewarding and challenging career in healthcare?

Prior Authorization Specialist Role

We are currently looking for a skilled Prior Authorization Specialist to join our team. This role involves obtaining all types of prior authorizations, including biologic medications, procedures, prescriptions, and out-patient testing.

  • 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 EMR.
  • Coordinate with healthcare providers and insurance companies to obtain necessary authorizations.
  • Ensure accurate and timely documentation of authorization requests and approvals.
  • Collaborate with the medical billing team to resolve any issues or denials.
  • Maintain up-to-date knowledge of insurance guidelines and procedures.
  • Complete other tasks as assigned by providers through EMR/EHR.
  • Copy, fax, and mail documents and information as requested by insurance carriers.
  • Schedule follow-up appointments, biologic injections, and photodynamic therapy treatments.
  • Assist the pathology department with notifying patients of pathology results via telephone.
  • Fulfill organizational responsibilities as assigned, which may include but are not limited to: respecting and promoting patient's rights, responding appropriately to emergency situations, sharing problems relating to patients and/or staff with Care Center Leader in a timely manner.
  • Provide safe patient-centered, compassionate, and competent patient care.

This is an exciting opportunity to work with a global remote workforce solutions company that values delivering high-quality results for its clients and employees.

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