Healthcare Prior Authorization Coordinator

7 days ago

Biñan, Calabarzon, Philippines beBeeAuthorization Full time ₱40,000 - ₱70,000

Job Overview:

We are seeking a skilled Prior Authorization Specialist to fulfill this challenging role. The ideal candidate will be responsible for ensuring timely and accurate prior authorizations, including biologic medications, procedures, prescriptions, and out-patient testing.

Key Responsibilities:

  • Process and review prior authorization requests for medical services, procedures, and medications with utmost care and attention to detail.
  • Verify insurance information and patient eligibility in a timely manner to ensure seamless communication with healthcare providers and insurance carriers.
  • Provide clear and concise guidance to patients regarding authorizations, ensuring they understand their roles and responsibilities.
  • Accurately document all interactions with patients, pharmacies, and insurance carriers in our electronic medical record system.
  • Collaborate with healthcare providers and insurance companies to resolve any issues or denials in a professional and courteous manner.
  • Maintain up-to-date knowledge of insurance guidelines and procedures to provide the best possible service to our clients.
  • Complete other tasks as assigned by providers through our electronic health record system.

Requirements:

The ideal candidate will have 3-5 years of experience as a Prior Authorization Specialist in the US Healthcare industry, possessing strong knowledge of insurance verification processes and payer/billing guidelines.

Excellent communication and interpersonal skills are essential for this role, as well as being detail-oriented with strong organizational skills and able to work independently to meet deadlines.

Additionally, the ideal candidate should be comfortable working in a remote, work-from-home setup and amenable to working in a graveyard shift.

System Requirements:

The following systems are required for this role:

  • A desktop or laptop with an Intel Core i5 (or higher) or AMD Ryzen 5 (or higher) processor.
  • Minimum 8GB RAM for optimal performance.
  • Windows 11 Pro (or Windows 10 Pro) or macOS compatible with M1 chip or newer.
  • An SSD for faster processing and performance.
  • Internet connectivity with minimum speed of 50 Mbps via a wired connection.
  • Backup internet connection highly recommended.

Benefits:

Bizforce offers a competitive salary, permanent work-from-home arrangement, weekly paychecks, fixed weekends off, HMO reimbursement on the 90th day, and a thriving company culture with complete autonomy.

Our organization values delivering high-quality results for our clients and ensuring a rewarding, respectful, and productive experience for our employees.

Searchable title: Prior Authorization Specialist

Remuneration min: 40000

Remuneration max: 70000

Remuneration currency: PHP

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