Prior Authorization Specialist
2 days ago
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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