Prior Authorization Specialist

6 days ago

Pasay, National Capital Region, Philippines access healthcare Full time ₱150,000 - ₱250,000 per year

Job description:

Access Healthcare is looking for motivated and detail-oriented individuals to join our Healthcare Prior Authorization team.

Key Responsibilities:

  • Review and process prior authorization requests from healthcare providers.
  • Verify patient insurance coverage and ensure compliance with payer requirements.
  • Coordinate with healthcare providers, insurance companies, and patients to resolve issues related to authorization requests.
  • Maintain accurate and detailed documentation of all interactions and transactions.
  • Ensure compliance with US healthcare regulations and company policies.
  • Meet performance metrics, including quality, accuracy, and turnaround time.

Qualifications:

  • Good verbal and written communication skills.
  • Strong attention to detail and ability to multitask in a fast-paced environment.
  • Willingness to work in Pasay
  • Must have a BPO International experience in Healthcare Outbound Prior Authorization.
  • Has knowledge in Benefits and Authorization.
  • With experience in Provider side.

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