Prior Authorization Specialist

Qualifications:Philippines registered nurse with at least 1 year prior authorization experienceDiagnosis codes (CPT codes, ICD 10 / 11)with signing bonus and competitive salary packageOnsite Ortigas, Pasig City

Job Duties and ResponsibilitiesPrioritize incoming authorization and referral requests according to queue urgencyReview patient's clinical and chart documentation related to the service submitted by the provider's officeObtain and/or follow up on authorization and referral requests from the patient's payer/s through any of the following methods—depending...

Job Duties and ResponsibilitiesPrioritize incoming authorization and referral requests according to queue urgencyReview patient's clinical and chart documentation related to the service submitted by the provider's officeObtain and/or follow up on authorization and referral requests from the patient's payer/s through any of the following methods—depending...

Job Overview We are seeking a detail-oriented and motivated Prior Authorization Specialist with a background in the medical allied field. The successful candidate will be responsible for handling prior authorization requests, ensuring accuracy and compliance with payer requirements, and supporting healthcare providers in securing approvals for medical...

Prepare and complete the necessary documentation for the companys bank account opening, updating, or closure, including handwriting the official bank forms and encoding the required information into the Digital Onboarding System (DOBS). Maintain custodianship over the data and personal information of the Board of Directors (BOD), Executive Committee...

Position Summary:The Billing/Insurance Verification Specialist is responsible for ensuring accurate and timely verification of insurance coverage, billing, and payment processing. This role requires a detail-oriented individual who can navigate healthcare insurance systems, interact with patients and providers, and resolve discrepancies to ensure efficient...

About the role Nezda Technologies, Inc. is seeking a talented registered nurse to join our team as a USRN UMR & PHRN - PRIOR AUTH. This is a full-time, based in Ortigas Pasig City Metro Manila. In this strategic position, you will play a crucial part in our efforts to deliver exceptional healthcare services to our clients.What you'll be doingReviewing and...

ResponsibilitiesManage and organize company email inboxes, ensuring timely responses and follow-ups.Handle intake calls from patients, families, and referral sources with professionalism and empathy.Assist with insurance verification, prior authorizations, and documentation support.Coordinate and process referrals from hospitals, clinics, and case...

Company DescriptionGlobal Dominion Financing, Inc. (GDFI) provides Filipinos with accessible and affordable loan products and services to meet diverse needs such as car purchases, business capital, tuition fees, home improvements, and medical expenses. GDFI is dedicated to offering innovative loan facilities with manageable interest rates and convenient...

Job Summary:As a Healthcare Executive, you will play a vital role in supporting healthcare operations by handling prior authorizations, coordinating with insurance providers, and ensuring accurate and timely processing of medical documentation. This is a full-time, on-site role based in Ortigas, Pasig, with a fixed graveyard shift and weekends off. We are...