Healthcare Prior Authorization_Up to 40K Ortigas

9 hours ago

Pasig, National Capital Region, Philippines HRTX Full time ₱240,000 - ₱480,000 per year
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 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

    9 hours ago

    Pasig, National Capital Region, Philippines Omega Healthcare Management Services Full time ₱45 - ₱55 per year

    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

  • PHRN - AR Executive (Prior Authorization) SOB 40K | ONSITE (Ortigas, Pasig)

    6 days ago

    Pasig, National Capital Region, Philippines Omega Healthcare Management Services Inc. Full time ₱400,000 - ₱600,000 per year

    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...

  • Healthcare Executive

    1 week ago

    Pasig, National Capital Region, Philippines Find HR Full time ₱240,000 - ₱420,000 per year

    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...

  • USRN Trainer

    4 days ago

    Pasig, National Capital Region, Philippines Omega Healthcare, Ortigas Pasig City Full time ₱960,000 per year

    Duties 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...

  • Prior-Authorization Nurses USRN

    6 days ago

    Pasig, National Capital Region, Philippines Visaya Knowledge Process Outsourcing Corporation Full time ₱450,000 - ₱900,000 per year

    WE'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...

  • PHRN QA

    4 days ago

    Pasig, National Capital Region, Philippines Omega Healthcare, Ortigas Pasig City Full time ₱400,000 - ₱600,000 per year

    Job descriptionJob 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...

  • Prior Authorization Specialist

    6 days ago

    Pasig, National Capital Region, Philippines Connext Global Solutions Inc Full time ₱900,000 - ₱1,200,000 per year

    Connext is a dedicated team of business process outsourcing experts and innovators, with experience in supporting world-class companies in Title and Escrow, Healthcare, Produce Distribution, Retail and Fashion, Design Consulting, and Finance.We are currently looking for a Prior Authorization Specialist who will be working with Connext's Client in the United...

  • Prior Authorization Specialist

    1 week ago

    Pasig, National Capital Region, Philippines Connext Full time ₱900,000 - ₱1,200,000 per year

    Connext Global Solutionsis a dedicated team of business process outsourcing experts and innovators, with experience in supporting world-class companies in Title and Escrow, Healthcare, Produce Distribution, Retail and Fashion, Design Consulting, and Finance.We are currently looking for anPrior Authorization Specialistwho will be working with Connext's Client...

  • PHRN with BPO Healthcare Experience

    6 days ago

    Pasig, National Capital Region, Philippines Omega Healthcare Management Services Inc. Full time ₱900,000 - ₱1,200,000 per year

    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...

  • Registered Nurse

    6 days ago

    Pasig, National Capital Region, Philippines Nezda Technologies, Inc. Full time ₱900,000 - ₱1,200,000 per year

    Job Title:PHRN – Healthcare Account (Voice Campaign)Job Description:We are looking for a Philippine Registered Nurse (PHRN) to join our Healthcare Voice Campaign team. The role involves providing professional support to patients and healthcare providers, ensuring accurate information and excellent service delivery.Qualifications:Must be a Philippine...