permanent remote job- pre authorization specialist

3 days ago

Work from Home, Philippines Cliniqon LLC Full time ₱250,000 - ₱500,000 per year

Join Our Team

We are seeking a highly skilled and detail-oriented Pre-Authorization Specialist to support our growing diagnostic imaging practice. In this critical role, you'll be responsible for obtaining pre-authorizations for MRI, CT, and DTI procedures, verifying insurance benefits, and ensuring patients are informed of their financial responsibility.

Responsibilities:

  • Review patient records, procedure codes, and diagnoses to initiate authorization requests
  • Obtain pre-authorizations through insurance portals and direct communication with payers
  • Create and manage patient charts with accurate and timely data entry
  • Verify insurance benefits, including copays, coinsurance, and deductibles
  • Calculate and communicate patients' financial responsibility prior to service
  • Coordinate with clinical and billing teams to ensure timely scheduling and payment collection

Requirements:

  • Proven experience with MRI and CT pre-authorization processes
  • Proficiency in DTI pre-authorization
  • In-depth knowledge of insurance verification and benefit structures
  • Strong organizational skills and attention to detail
  • Excellent communication skills (verbal and written)
  • Familiarity with various insurance portals and electronic health records

Why Join Us?

  • Permanent work-from-home
  • Retention bonus
  • Performance bonus
  • Immense growth opportunities
  • Company-provided assets
  • HMO coverage
  • Many more benefits

You'll be part of a supportive, fast-paced environment where accuracy and communication make a real impact on patient care. We value integrity, teamwork, and a proactive approach to problem-solving.

Ready to apply?

Send your resume to:

Job Type: Full-time

Benefits:

  • Health insurance
  • Life insurance
  • Opportunities for promotion
  • Paid training
  • Pay raise
  • Work from home

Application Question(s):

  • Do you have experience obtaining pre-authorizations for MRI and CT procedures?
  • Are you familiar with DTI pre-authorization processes?
  • Have you used insurance portals to verify benefits and submit authorization requests?
  • Do you have experience calculating patient financial responsibility, including copays, coinsurance, and deductibles?
  • Are you amenable to start ASAP?

Work Location: Remote

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