Healthcare Prior Authorization_Up to 40K Ortigas
3 hours ago
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 services and procedures.
Key Responsibilities- Process and manage prior authorization requests for medical services, procedures, and medications.
- Review clinical documentation and ensure compliance with payer guidelines and requirements.
- Communicate with healthcare providers, insurance companies, and patients to facilitate approvals.
- Track, follow up, and resolve pending authorizations in a timely manner.
- Document all activities accurately within the system for auditing and compliance purposes.
- Collaborate with internal teams to ensure smooth workflow and process efficiency.
-
Prior Authorization PHRN
3 hours ago
Pasig, National Capital Region, Philippines Omega Healthcare Management Services Full time ₱45 - ₱55 per yearQualifications: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
-
Pasig, National Capital Region, Philippines Omega Healthcare Management Services Inc. Full time ₱400,000 - ₱600,000 per yearJob 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...
-
Prior-Authorization Nurses USRN
4 days ago
Pasig, National Capital Region, Philippines Visaya Knowledge Process Outsourcing Corporation Full time ₱450,000 - ₱900,000 per yearWE'RE HIRING – Prior-Authorization Nurse (PHRN/USRN) – Pioneer Account Location: Ortigas (Onsite) Company: VISAYABe part of a pioneer team supporting patient care through prior-authorization and utilization review services. Qualifications:Graduate of BS Nursing with an active PHRN or USRN licenseAt least 3–5 years of solid experience in:Utilization...
-
Quality Assurance Manager for Healthcare
4 weeks ago
Pasig, National Capital Region, Philippines Nezda Global Full timeOverviewCompetitive salaries and a comprehensive benefit packagePioneering AccountLocationLocation: Ortigas, PasigQualificationsAmenable to work onsiteBachelor's degree holder in any fieldMinimum of 3-5 years management level experience in QA with strong healthcare background in the BPO (e.g. prior authorization, revenue cycle management, utilization...
-
PHRN - QA (Prior Authorization) ONSITE
4 days ago
Pasig, National Capital Region, Philippines Omega Healthcare Management Services Inc. Full time ₱900,000 - ₱1,200,000 per yearJob 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...
-
USRN Trainer
2 days ago
Pasig, National Capital Region, Philippines Omega Healthcare, Ortigas Pasig City Full time ₱960,000 per yearDuties and Responsibilities:Deliver & facilitate trainings per business requirements.Conduct Training Needs Analysis (TNA), as well as develop and execute customized Training Needs Interventions (TNI) to support business KPIs.Regularly communicate, collaborate, coordinate, and calibrate with internal and external stakeholders.Coach and act as a guide on...
-
PHRN - QA (Prior Authorization) ONSITE
3 weeks ago
Pasig, National Capital Region, Philippines Omega Healthcare Management Services Inc. Full timeJob 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...
-
PHRN - TL (Prior Authorization) ONSITE
4 days ago
Pasig, National Capital Region, Philippines Omega Healthcare Management Services Inc. Full time ₱900,000 - ₱1,200,000 per yearJob 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...
-
Pasig, National Capital Region, Philippines Cobden & Carter International Full time $40,000 - $50,000 per yearQualifications:Must have an active PHRN licenseWith at least 1 year experience in Healthcare BPO – prior authorization experience is preferred but not required and/or at least 1-2 years bedside care experience in an acute setting (clinics are not included)Good communication skillsMust be amenable to work ONSITE (Site Location: Ortigas, Pasig)Duties and...
-
Reports Analyst
4 days ago
Pasig, National Capital Region, Philippines Omega Healthcare, Ortigas Pasig City Full time ₱360,000 - ₱480,000 per yearJob descriptionAbout the roleOmega Healthcare Management Services Inc. is seeking a talented MIS Analyst to join our dynamic team in Ortigas Pasig City Metro Manila. As an MIS Analyst, you will play a vital role in supporting and enhancing the company's management information systems. This full-time position offers the opportunity to contribute to the...
