Authorization Expert

2 days ago

Manila, National Capital Region, Philippines beBeePrior Full time $60,000 - $80,000
Prior Authorization Specialist

MedCore Solutions is seeking a skilled Prior Authorization Specialist to provide medical services and process prior authorizations.

The Prior Authorization Specialist will be primarily responsible for obtaining all types of prior authorizations, including biologic medications, procedures, prescriptions, and out-patient testing.

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. Review all forms for completeness and accuracy.
  • Accurately document all patient, pharmacy, and insurance carrier interactions in the 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 healthcare providers through the 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.
Requirements:
  • Proven 3-5 years of experience as a Prior Authorization Specialist in the US Healthcare industry.
  • Strong knowledge of insurance verification processes and payer/billing guidelines.
  • Excellent communication and interpersonal skills to work effectively with patients, healthcare providers, and insurers.
  • Detail-oriented with strong organizational skills.
  • Ability to work independently and meet deadlines.
  • Comfortable working in a remote, work-from-home setup.
  • Amenable to work in a graveyard shift.
Benefits:
  • 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
About Us:

We are a global outsourcing company committed to delivering high-quality results for our clients and ensuring a rewarding, respectful, and productive experience for our employees.

  • Expert Reviewer for Academic Manuscripts

    3 days ago

    Manila, National Capital Region, Philippines beBeeRheumatology Full time ₱3,840 - ₱5,280

    About the RoleWe're seeking a seasoned expert to join our team of freelance peer reviewers. As a respected authority in your field, you will play a pivotal role in evaluating and refining academic manuscripts.

  • Data Solutions Expert

    3 days ago

    Manila, National Capital Region, Philippines beBeeSupport Full time ₱60,000 - ₱75,000

    About the RoleThe Technical Support Engineer provides expert technical assistance to enterprise accounts. They are responsible for answering technical questions within various deployment environments and assisting with supported LTS upgrades.Key Responsibilities:Offer support for standard and custom deploymentsAddress break/fix and non-break/fix technical...

  • Expert Payroll Compliance Professional

    3 days ago

    Manila, National Capital Region, Philippines beBeeCompliance Full time $40,700 - $91,650

    Payroll Compliance SpecialistWe are seeking a skilled and experienced Payroll Compliance Specialist to join our team. In this role, you will be responsible for ensuring the accuracy and compliance of payroll processes across multiple regions.As a Payroll Compliance Specialist, you will have a deep understanding of payroll legislation, employment tax, and...

  • Mathematics Expert

    1 week ago

    Manila, National Capital Region, Philippines Outlier Full time $30,000 - $50,000 per year

    Outlier Quezon City, National Capital Region, Philippines Join or sign in to find your next job Join to apply for the Mathematics Expert role at Outlier Outlier helps the world's most innovative companies improve their AI models by providing human feedback. Are you an experienced Mathematician who wants to lend your expertise to train AI models? Join our...

  • US Tax Expert

    3 days ago

    Manila, National Capital Region, Philippines beBeeLeadership Full time $1,200,000 - $1,300,000

    Expert Tax Leadership OpportunitySeeking a seasoned tax professional to lead our US Tax team in delivering high-quality services to clients. As a respected authority in taxation, you will be responsible for overseeing the preparation and review of individual, corporate, partnership, and trust returns, ensuring compliance with federal, state, and local...

  • Strategic Technical Solutions Expert

    3 days ago

    Manila, National Capital Region, Philippines beBeeTechnical Full time $100,000 - $120,000

    About the RoleAs a skilled Solutions Expert, you will be a technical authority, strategic partner to sales teams, and strong communicator. You will drive product value, sales success, and prospect satisfaction by understanding customer needs and translating them into effective solutions.Key ResponsibilitiesEngage in functional and technical discussions with...

  • Healthcare Billing Expert

    3 days ago

    Manila, National Capital Region, Philippines beBeeHealthcare Full time $45,000 - $60,000

    Job DescriptionWe are seeking a skilled Healthcare Billing Expert to join our team. As a key member, you will be responsible for managing all aspects of insurance billing and processing, including claim review and correction, submission, and follow-up.Required Skills and QualificationsAt least 3 years of experience in medical accounts receivable or billing...

  • Clinical Research Expert

    3 days ago

    Manila, National Capital Region, Philippines beBeeMicrobiology Full time ₱4,819,200 - ₱6,724,800

    Expert Peer Reviewer WantedThis is an excellent opportunity to utilize your expertise as a researcher or retired researcher to conduct peer reviews for academic journals and publishers.Key RequirementsDoctorate (PhD/MD) or equivalent advanced degree in clinical microbiology, demonstrating a strong foundation in research methodologies and analytical...

  • Expert AI-Powered Software Developer

    3 days ago

    Manila, National Capital Region, Philippines beBeeSoftware Full time ₱4,000 - ₱8,000

    AI-Powered Software Development ExpertWe're seeking a seasoned AI-native software professional with a passion for harnessing cutting-edge tools to create innovative products.The ideal candidate will have hands-on experience with AI development platforms, such as Cursor and Replit, and be able to rapidly iterate and launch new digital offerings each week.This...

  • Senior SEO Expert

    1 week ago

    Manila, National Capital Region, Philippines fci London Full time ₱60,000 - ₱65,000 per year

    Senior SEO role for a luxury brand portfolio where you'll be the strategist, the implementer and the results-maker.Senior SEO Expert – Multi-Brand Luxury & Lifestyle PortfolioLocation: Fully remoteHours: Flexible – results over clock-watchingExperience: 15+ years in SEOSalary: PHP 60, per monthWhy You'll Love Working With UsFully remote freedom: Work...