Prior Authorization Specialist

4 days ago

Taguig, National Capital Region, Philippines Systemantech Full time ₱336,000 per year

JOB RESPONSIBILITIES:

  • Contact insurance companies to verify coverage status of patient benefits.
  • Files pre-authorizations for patients with insurance companies and provide follow up as needed.
  • Process supply orders.
  • Maintains accurate patient information in relevant Acelis Connected Health data management systems.
  • Provides patients with information regarding their order status, which may include: developing financial breakdowns for the patient, giving the patient estimates of costs and collecting payments for co-pays for supply orders, if applicable.
  • Gathers all necessary additional medical records as requested by insurance companies.
  • Applies knowledge of company processes and procedures to respond to incoming communication from insurance companies, patients and internal departments.
  • Performs other related duties as assigned.

MINIMUM REQUIREMENTS:

  • Prior medical insurance authorization experience preferred.
  • One to two years data processing experience preferred,
  • One to two years customer service or provider relations experience preferred
  • Associate degree or equivalent with a minimum of three years relevant working experience.

Educational Background :

Completed at least 2 years in College or with an Associate or Bachelor's Degree.

TECHNICAL SKILLS

  • Basic Excel, Word and Outlook experience required.
  • Demonstrates proficiency and accuracy using Alere Home Monitoring data management systems which are directly related to the specific job function.
  • Strong Computer/Software Skills

COMMUNICATION SKILLS

  • Position requires heavy telephone contact with program providers and participants (up to 90%).
  • Excellent interpersonal and phone etiquette skills
  • Ability to provide superior customer service and meet customer satisfaction expectations. Detail & Team Oriented
  • Communication & Writing Skills
  • Organization/Time Management Skills
  • Human Relation Skills
  • Excellent oral and written communication skills.
  • Detail oriented with a focus on exceptional customer service.
  • Excellent PC skills and organizational skills

COMPETENCIES

  • Fostering Teamwork
  • Commitment to Job Deliverables
  • Decision making
  • Attention to Details
  • attention to Communication
  • Customer Orientation
  • Analytical Thinking
  • Leadership
  • Trustworthiness and Ethics
  • Problem Solving
  • Technical Expertise
  • Managing Change
  • Managing Performance
  • Adaptability
  • Initiative
  • Interpersonal Skills
  • Thoroughness
  • Self Confidence
  • Stress Management
  • Personal Credibility
  • Flexibility

PHYSICAL ABILITIES

  • Perform some repetitive motion activities.
  • Sit for long periods of time.
  • Requires close vision and the ability to adjust eye focus often.
  • Required to reach with hands and arms.

Job Type: Full-time

Pay: Up to Php28,000.00 per month

Benefits:

  • Company Christmas gift
  • Health insurance
  • Opportunities for promotion
  • Paid training
  • Promotion to permanent employee

Application Question(s):

  • Provide your VIBER for communication

Experience:

  • US Healthcare Insurance Verification: 1 year (Required)
  • Healthcare Costumer service: 1 year (Required)

Location:

  • Taguig (Required)

Willingness to travel:

  • 100% (Required)

Work Location: In person

  • HIRING: PHRN- Prior Authorizations

    4 days ago

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

    About the role Nezda Technologies, Inc.' is seeking a dedicated and experienced PHRN - Prior Authorizations to join our dynamic team in Taguig City Metro Manila. In this full-time position, you will play a crucial role in managing the prior authorization process, ensuring timely and efficient approvals for our healthcare clients.What you'll be...

  • PHRN Clinical Authorization Specialist-BLENDED

    4 days ago

    Taguig, National Capital Region, Philippines Nezda Technologies, Inc. Full time ₱53,000 per year

    We Are Hiring: Clinical Authorization Specialists (Surgery, Pharmacy, Oncology) - BLENDED ACCOUNT Taguig | Night Shift | Onsite | Up to 53K Package | Start ASAP - September 22Open Roles:Clinical Authorization SpecialistClinical Authorization Specialist (Pharmacy)Clinical Authorization (Surgery & Oncology)QA – Clinical Authorization (Surgery &...

  • Team Lead Pharmacy Authorization

    4 days ago

    Taguig, National Capital Region, Philippines AGS health Full time ₱2,000,000 - ₱2,500,000 per year

    Job Title: Team Leader Pharmacy Authorization (RN)Location: McKinley, Taguig CityWork Set-up: OnsiteOUR COMPANYAGS Health is more than a revenue cycle management company–we're a strategic partner for growth. With expert services complemented by AI-enabled technologies and high-touch support, AGS Health is the premier revenue cycle partner for leading...

  • Registered Nurse

    4 days ago

    Taguig, National Capital Region, Philippines Tata Consultancy Services Full time ₱900,000 - ₱1,200,000 per year

    Position SummaryThe Prior Authorization Admin Support RN will assist with the end-to-end coordination and submission of prior authorization requests. This includes gathering patient information, verifying insurance coverage, entering data into payer portals, and ensuring proper documentation is submitted alongside requests.Key ResponsibilitiesGather clinical...

  • Senior Tax Specialist

    4 days ago

    Taguig, National Capital Region, Philippines HEALTHY MOMENTS CONSULTING INC Full time $40,000 - $60,000 per year

    I. General SummarySr. Tax Specialist is primarily responsible for assisting the Tax Team Lead in projects and engagements related to tax compliance, audits and planning. Also, assist the Tax Team in timely preparation of tax related information and reporting to authorities.II. Skills and Qualifications• At least 3 years' experience in the field of...

  • Medical Allied Graduates

    1 week ago

    Taguig, National Capital Region, Philippines access healthcare Full time ₱180,000 - ₱250,000 per year

    Job description:We are seeking for MEDICAL ALLIED GRADUATES to be part of our Prior Authorization team in the Philippines. We are always interested in talking to inspired, talented, and motivated people. Many opportunities are available to join our vibrant culture.JOB DESCRIPTIONCollaborate with insurance companies and internal teams to facilitate the prior...

  • Client Support Specialist

    4 days ago

    Taguig, National Capital Region, Philippines AIMS IMMIGRATION AND RELOCATION SPECIALIST (MANILA) Full time ₱400,000 - ₱600,000 per year

    Role Overview:· Assisting clients with their Australia visa applications· Communicating and consulting clients on their eligibility for Australia visa programs· Working with clients to obtain relevant documentation and information to fulfill the requirements of the visa programs· Monitoring and communicating the progress of clients' application status...

  • Medical Allied Graduates

    2 days ago

    Taguig, National Capital Region, Philippines Access Healthcare Full time $104,000 - $130,878 per year

    Access Healthcare is looking for Medical Allied Graduates for Healthcare CSR accountCalling ALL Medical Allied Graduates to applyJob DescriptionCollaborate with insurance companies and internal teams to facilitate the prior authorization process on behalf of healthcare providersObtain prior authorization from insurance companies before medical procedures or...

  • Finance Specialist

    1 week ago

    Taguig, National Capital Region, Philippines Gavin Ventures, Inc. Full time ₱250,000 - ₱300,000 per year

    Finance Specialist - Taxation and BookkeepingJob Description:Weekly data mining and pull out of GGR from Platform Data for PAGCOR Reports.Weekly PAGCOR remittance.Bookkeeping (for other entities)Taxation (for other entities)Job Requirements:Bachelor's degree in Finance, Accounting, Economy or a similar field.Knowledgeable in Journal Entries and...

  • Company Nurse- BGC

    4 days ago

    Taguig, National Capital Region, Philippines MAESTRO HOLDINGS Full time ₱900,000 - ₱1,200,000 per year

    QUALIFICATIONSCandidate must possess at least a Bachelor's Degree, Professional License (Passed Board/Bar/Professional License Exam), Nursing or equivalent.At least 6 months experience in Hospital or Clinic Setting.Fresh graduates are also welcome to applyAmenable with Monday-Friday 9pm to 6amWilling to work at Cybersigma, Mckinley BGCDUTIES AND...