Authorizations Specialist

4 days ago

Work from Home, Philippines The Perfect Child LLC Full time ₱900,000 - ₱1,200,000 per year

We are seeking a detail-oriented and dependable Authorizations Specialist to join our healthcare management team. The ideal candidate will be responsible for obtaining, tracking, and verifying insurance authorizations for medical services, ensuring timely approvals and compliance with payer requirements. This role is critical to supporting patient access to care and ensuring accurate and efficient operations within our clinical and administrative teams.

Key Responsibilities:

  • Review incoming service requests and determine if prior authorization is required based on insurance plan guidelines
  • Submit accurate and complete authorization requests to insurance companies, including all necessary documentation
  • Follow up with payers to ensure timely processing and communicate status updates to internal teams
  • Maintain detailed records of authorization approvals, denials, and pending cases
  • Coordinate with providers, clinicians, and patients to gather additional information as needed
  • Verify insurance coverage and eligibility for scheduled services
  • Respond to internal and external inquiries regarding authorization status and payer requirements
  • Escalate urgent or delayed cases to management for resolution
  • Stay current on payer policies, billing rules, and pre-certification procedures
  • Ensure HIPAA compliance and maintain confidentiality of patient information

Qualifications:

  • High school diploma or equivalent required; associate's or bachelor's degree preferred
  • 1–3 years of experience in medical authorizations, insurance verification, or healthcare administration
  • Strong understanding of commercial, Medicaid, and Medicare payer authorization processes
  • Familiarity with electronic health records (EHR) systems and payer portals
  • Excellent communication skills, both verbal and written
  • Strong attention to detail and organizational abilities
  • Ability to manage multiple tasks and meet tight deadlines
  • Proficiency in Microsoft Office (Word, Excel, Outlook)

Preferred Qualifications:

  • Experience in behavioral health, home health, or specialty care settings

Job Type: Full-time

Benefits:

  • Work from home

Work Location: Remote

  • Prior Authorization Specialist

    2 weeks ago

    Work from Home, Philippines Uplift Healthcare Solutions Full time ₱480,000 - ₱540,000 per year

    We are seeking skilled professionals with experience in Prior Authorizations for:Vascular LabInpatient EEGs (Electroencephalogram)Position DetailsWork Setup: Permanent Work From HomeShift: Graveyard (CST)Employment Type: Independent ContractorSalary: ₱40,000 – ₱45,000 (depending on experience)Equipment: Desktop providedRequirementsAt least college...

  • Prior Authorization Specialist- Ophthalmology Practice

    2 weeks ago

    Work from Home, Philippines Staffing For Doctors Full time ₱1,200,000 - ₱2,400,000 per year

    We are seeking a detail-oriented and experienced Medical Virtual Assistant (MVA) with a background in ophthalmology and strong expertise in prior authorizations. The ideal candidate will support our ophthalmology practice by managing insurance authorizations, verifying patient benefits, coordinating with payers, and assisting with scheduling and patient...

  • Remote Solar Operations Specialist

    4 days ago

    Work from Home, Philippines KR Solar Full time $40,000 - $60,000 per year

    A U.S.-based solar company is looking for an experienced Residential Solar Operations Specialist to join our team. This is a full-time, remote position open to international candidates with relevant experience.RequirementsRequirements:Minimum 1 year of experience in residential solar operationsStrong knowledge of permitting, interconnection, and general...

  • SEO Specialist

    2 days ago

    Work from Home, Philippines AX Creative Agency Full time ₱120,000 - ₱240,000 per year

    SEO Specialist – Casual / Freelance / Part-TimeAX Creative is looking for an SEO Specialist to help us generate more leads through organic search.Your main mission:Increase qualified inbound leads by improving our rankings, driving targeted traffic, and building domain authority across both local and international markets.What we're looking for:Proven...

  • WFH | Insurance and Referrals Intake Specialist

    4 days ago

    Work from Home, Philippines Dextra Outsourcing Solutions, Inc Full time ₱120,000 - ₱180,000 per year

    We are seeking a Part-time Intake Specialist to join our administrative team and support the seamless entry of patients into our wound care program. This role is responsible for managing the patient intake process, verifying insurance, and coordinating closely with clinical and administrative teams to ensure that all documentation and scheduling are accurate...

  • Permitting Specialist

    4 days ago

    Work from Home, Philippines nightowl consulting Full time ₱900,000 - ₱1,200,000 per year

    DescriptionThe Permitting Specialist will play a critical role in ensuring that projects comply with all necessary regulations and obtain the required permits. Your expertise will be vital in navigating the permitting process, coordinating with various stakeholders, and ensuring timely approvals for projects.Key ResponsibilitiesResearch and identify all...

  • systems/automation specialist/ IT support

    2 days ago

    Work from Home, Philippines Smile Collective Full time ₱40,000 - ₱60,000 per year

    Systems & Automation Specialist (HubSpot & Business Tech)We're looking for a Systems & Automation Specialist to join our growing team and help us take our operations to the next level. If you love making systems talk to each other, streamlining processes, and building automations that save teams hours each week — this role is for you.About UsWe are a...

  • Customs Specialist

    1 week ago

    Work from Home, Philippines ACCPRO INTERNATIONAL Full time ₱144,000 - ₱960,000 per year

    We are HiringPosition: Customs Specialist - Spanish BilingualWork Set-up: Remote / Permanent WFHWork Schedule: Night Shift (10pm - 7am Philippine Time)Benefits: Equipment is provided, Quarterly bonus + HMO for principal and dependentJob SummaryWe are seeking a Bilingual (English-Spanish) Customs Specialist with a strong background in international commerce,...

  • AP/AR Specialist

    4 days ago

    Work from Home, Philippines Compliant Business Processing Phils. Inc. Full time ₱400,000 - ₱600,000 per year

    The Accounts Payable/Receivable Specialist responsibilities include the handling of the financial records of the client which refers to overseeing accounts and managing invoices. Part of the role is to assist with the general day-to-day tasks within the finance department. Primarily responsible for computing, classifying, and recording expenditures and...

  • Part-time GenAI Specialist

    2 days ago

    Work from Home, Philippines eTraining, Inc. Full time ₱96,000 - ₱192,000 per year

    Job Title: Part-Time GenAI SpecialistPosition Type: Part-Time (10–20 hours per week)Department: Design / Instructional DevelopmentReports To: Design ManagerLocation: RemoteWork Schedule: CST_________________________________________________________________________________________________Position OverviewWe are seeking a creative and technically skilled...