Prior Authorization Nurse

Position SummaryThe Prior Authorization Nurse (PHRN) will support the review and submission of prior authorization requests for behavioral health treatments, medications, or services. The nurse will review clinical documentation to ensure accuracy and medical necessity, complete required payer forms, and work closely with administrative support staff to...

We are seeking a detail-oriented and organized Prior Authorization Specialist to join our healthcare team. In this role, you will be responsible for obtaining prior authorizations for medical procedures, diagnostic tests, and medications from insurance providers. You will serve as a key liaison between healthcare providers, patients, and insurance companies...

Position SummaryThe Prior Authorization Admin Support RN will assist with the end-to-end coordination and submission of prior authorization requests. This includes gathering patient information, verifying insurance coverage, entering data into payer portals, and ensuring proper documentation is submitted alongside requests.Key ResponsibilitiesGather clinical...

Job Title: Team Leader Pharmacy Authorization (RN)Location: McKinley, Taguig CityWork Set-up: OnsiteOUR COMPANYAGS Health is more than a revenue cycle management company–we're a strategic partner for growth. With expert services complemented by AI-enabled technologies and high-touch support, AGS Health is the premier revenue cycle partner for leading...

The Company Nurse facilitates effective administration of the clinic management processes through systematic and timely coordination and consolidation of medical documents with all pertinent personnel. The incumbent is responsible for receiving patients at the Company Clinic, gathering, safekeeping, releasing of patient data, information or medical...

Access Healthcare is in need of Nursing graduates for our Blended (Voice and Back Office) Healthcare CSR account:Tasks:Will need to complete a full analysis of patient's medical chartsConduct outbound calls to providersTo obtain authorization of specific medical procedure or prescription drug and to check on patient's eligibility, benefits, and...

Let your Passion Lead You at the Home of Clinicians with over 5000+ employees who have trusted us with their careersPhysical Site: Taguig City, and CebuOur Clinicians & Associates advocates for better patient care while enjoying these benefits:Hybrid SetupHMO on Day 1 with 2 Dependents upon regularization.Group Life InsuranceHighly Competitive...

Job description:We are seeking for MEDICAL ALLIED GRADUATES to be part of our Prior Authorization team in the Philippines. We are always interested in talking to inspired, talented, and motivated people. Many opportunities are available to join our vibrant culture.JOB DESCRIPTIONCollaborate with insurance companies and internal teams to facilitate the prior...

Job description:We are seeking for MEDICAL ALLIED GRADUATES to be part of our Prior Authorization team in the Philippines. We are always interested in talking to inspired, talented, and motivated people. Many opportunities are available to join our vibrant culture.JOB DESCRIPTIONCollaborate with insurance companies and internal teams to facilitate the prior...

We are seeking for MEDICAL ALLIED GRADUATES to be part of our Prior Authorization team in the Philippines.JOB DESCRIPTIONCollaborate with insurance companies and internal teams to facilitate the prior authorization process on behalf of healthcare providersObtain prior authorization from insurance companies before medical procedures or services are performed...