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Benefits and Authorization Specialist

3 weeks ago

Pasay, National Capital Region, Philippines MicroSourcing Full time

Discover your 100% YOU with MicroSourcing

Position:
Benefits and Authorization Specialist (Intermediate)

Location:
MOA, Pasay City

Work setup & shift:
Onsite | Night shift

Why join MicroSourcing?

You'll Have

  • Competitive Rewards*: Enjoy above-market compensation, healthcare coverage on day one, plus one or more dependents, paid time-off with cash conversion, group life insurance, and performance bonuses
  • A Collaborative Spirit: Contribute to a positive and engaging work environment by participating in company-sponsored events and activities.
  • Work-Life Harmony: Enjoy the balance between work and life that suits you with flexible work arrangements.
  • Career Growth: Take advantage of opportunities for continuous learning and career advancement.
  • Inclusive Teamwork: Be part of a team that celebrates diversity and fosters an inclusive culture.

Your Role
The primary function of the Benefits & Authorization Specialist is verifying prospective patient's insurance coverage and benefits, educating the company intake and billing teams of patient benefit information, obtaining pre-authorization for services from insurance payors, following up on authorization for service requests with payors, obtaining retroactive authorizations for services with payors, and maintaining authorizations for all new and existing patients until patient discharge occurs.

Essential Functions Evaluation

  • Receives and appropriately verifies new referrals' insurance benefits and authorization requirement in a timely manner.
  • Provide verified information to intake/clinical tram and Revenue Cycle Manager.
  • Requests authorization from payers, follow up on authorization request, manage and maintain authorization for all new and existing patients.
  • Provides effective communication to appropriate staff members, billing specialist, and Revenue Cycle Manager of changes to insurance coverage and or authorization for existing patient.
  • Uploads payor communication documents into the EMR, as needed, utilizing company guidelines for document naming conventions and attachment types.
  • Monitor and maintain assigned workflow.
  • Responds to company and billing team needs in a professional and timely manner.
  • Demonstrates commitment, professional growth, and competency.
  • Participates in Company sponsored in-service training.
  • Promotes the company culture, values, and mission by presenting a positive image to those we serve, including patients, families, physicians, vendors and community agencies in word, action, and appearance.

What You Need
Non-negotiables

  • One-year insurance verification and/or authorization experience
  • Knowledge of medical terminology, intermediate computer skills, and attention to detail
  • Good interpersonal skills and an ability to establish and maintain effective working relationships with all segments of the staff.

About MicroSourcing
With over 9,000 professionals across 13 delivery centers, MicroSourcing is the pioneer and largest offshore provider of managed services in the Philippines.

Our commitment to 100% YOU
MicroSourcing firmly believes that our company's strength lies in our people's diversity and talent. We are proud to foster an inclusive culture that embraces individuals of all races, genders, ethnicities, abilities, and backgrounds. We provide space for everyone, embracing different perspectives, and making room for opportunities for each individual to thrive.

At MicroSourcing, equality is not merely a slogan – it's our commitment. Our way of life. Here, we don't just accept your unique authentic self - we celebrate it, valuing every individual's contribution to our collective success and growth. Join us in celebrating YOU and your 100%

For more information, visit

  • Terms & conditions apply