Prior Authorization Specialist

2 weeks ago


Work from Home, Philippines VirtuAssist Full time ₱11,232 - ₱112,320 per year

We are seeking a dynamic and results-driven Prior Authorization Specialist to join our team and help drive our growth.

Key Responsibilities:

  • Document eligibility, benefit and authorization information in accordance with established guidelines
  • Verify prior authorizations and/or pre-service requirements are met
  • Provide outstanding customer service to patients and develop and maintain positive working relationships with internal and other external customers
  • Identify and report trends and prior authorization issues relating to billing and reimbursement
  • Document all account activity and correspond to inquiries in a timely manner
  • Review accounts on a daily basis while meeting or exceeding all daily, weekly and monthly production goals
  • Communicate and work effectively with colleagues from other departments
  • Fax off authorization request, update spreadsheets and call insurance companies
  • Performs other related duties as required or assigned

Requirements:

  • At least 2 years of relevant experience in insurance authorization
  • Strong writing skills in a clinical setting
  • Knowledge of basic computer skills such as Microsoft Office Suite (Outlook, Word, Excel, Sharepoint, etc.)
  • Ability to effectively present information and respond to questions from management, clients, auditors and internal customers
  • Strong organizational, analytical, and problem-solving skills

Job Type: Full-time

Pay: From Php224.00 per hour

Benefits:

  • Work from home

Application Question(s):

  • Do you have at least 2 years of experience in Insurance Authorization?

Work Location: Remote



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