Prior Authorization Specialist

1 week 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

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