Prior Authorization Specialist
1 week ago
QUALIFICATIONS:
- Graduate of any Medical Allied or some degree in college with 1-2 yrs of experience in Authorization
- Active PHRN license
- Skills and Knowledge:
- Medical Terminology: Understanding clinical terminology.
- Insurance Guidelines: Familiarity with insurance carrier guidelines.
- State Regulations: Knowledge of state guidelines related to referrals and prior authorization.
- ICD-10 and CPT Codes: Proficiency in these coding systems.
- Medicare and Regulatory Guidelines: Awareness of state and federal coverage and authorization rules.
- Detail-oriented with strong organizational and communication skills.
- Superior customer service skills.
- Proficient in Microsoft Applications
Job Types: Full-time, Permanent
Pay: Php40, Php50,000.00 per month
Benefits:
- Health insurance
- Paid training
Experience:
- Prior Authorization Specialist: 1 year (Required)
Work Location: In person
-
PHRN Prior Authorization Review Experience
2 weeks ago
ortigas, Philippines GGAS Services Full timePHRN – Prior Authorization Review Experience Location: Quezon City (Bridgetowne) or Ortigas – Onsite Schedule: Night Shift Start Date: Within August Salary: Php 45,000 – Php 50,000 per month (based on experience) Qualifications: Must have a valid PHRN license Minimum of 1 year experience in Prior Authorization Review or UMR With bedside/hospital...
-
PHRN Prior Authorization Review Experience
3 weeks ago
ortigas, Philippines GGAS Services Full timePHRN – Prior Authorization Review Experience Location: Quezon City (Bridgetowne) or Ortigas – Onsite Schedule: Night Shift Start Date: Within August Salary: Php 45,000 – Php 50,000 per month (based on experience) Qualifications: Must have a valid PHRN license Minimum of 1 year experience in Prior Authorization Review or UMR With bedside/hospital...
-
PHRN Prior Authorization Expert
7 days ago
Ortigas, Metro Manila, Philippines Omega Healthcare Management Services Inc. Full timeJob PurposeA Precertification Coordinator is responsible for obtaining prior authorizations and referrals on behalf of the provider's office for Cardiac Cath, Cardiac EP,for Outpatient and Inpatient procedures,Job Duties and Responsibilities· Prioritize incoming authorization and referral requests according to queue urgency· Review patient's clinical and...
-
PHRN Prior Authorization Review Exp
2 days ago
Ortigas Center, Philippines GGAS Services Full timePHRN – Prior Authorization Review Experience Location: Quezon City (Bridgetowne) or Ortigas – Onsite Schedule: Night Shift Start Date: Within August Salary: Php 45,000 – Php 50,000 per month (based on experience) Qualifications: Must have a valid PHRN license Minimum of 1 year experience in Prior Authorization Review or UMR With bedside/hospital...
-
PHRN with Prior Auth
7 days ago
Ortigas, Metro Manila, Philippines Nezda Global PH Full time ₱500,000 - ₱550,000 per yearQualifications:PHRN with active license - must have 1 year Prior Authorization experience OR 1 year BPO Healthcare experienceWilling to be assigned pure onsiteOffer:Virtual HiringBlended AccountUp to 50,000 Salary50,000 Signing BonusWeekends Off10% Night DifferentialHMO + dependent
-
PHRN-US Healthcare | Prior Auth
24 hours ago
Ortigas, Metro Manila, Philippines Nezda Technologies, Inc. Full timeHIRING: PHRN (US Healthcare Account) Onsite – Ortigas Pasig | Up to ₱50,000 Package + ₱40,000 SIGNING BONUSWhat we're looking forAt least 1year of experience in a healthcare customer service, prior authorization, or utilization management roleActive PHRN LicenseCan start ASAPAbility to work in a fast-paced environment and manage multiple tasks...
-
Ortigas, Metro Manila, Philippines Nezda Technologies, Inc. Full timeWe are hiring for PHILIPPINE REGISTERED NURSES for BPO setupWhat you'll be doingAssessing, planning, implementing, and evaluating patient care based on nursing standards and best practicesAdministering medications, treatments, and therapies as prescribed by physiciansMonitoring patients' conditions and reporting any changes or concerns to the healthcare...
-
USRN Case Manager Nurse
1 week ago
Ortigas, Metro Manila, Philippines VEE HEALTHTEK PH INC. Full time ₱1,200,000 - ₱2,400,000 per yearThe Case Manager Nurse will regularly liaise with multiple clinical specialties and doctors. This role also involves consistent interactions with insurance providers, patients and their families, legal delegates, and representatives from other medical care institutions. Additionally, they will often communicate with nursing staff, billing teams, medical...
-
Company Nurse
7 days ago
Ortigas, Philippines PhilCare Inc. Full time ₱210,000 - ₱306,000 per yearQUALIFICATIONSCandidate 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-Friday8:00pm-5amWilling to work at Megatower, Ortigas, PasigDUTIES AND...
-
Healthcare Tech Specialist
2 weeks ago
Ortigas, Philippines Sapient Global Services Full timeEasy, no-hassle and Fast One-day Hiring process! Earn up to 25k monthly plus more benefits! We are looking for a Healthcare Specialist Representative in our Metro Sites! This is for urgent hiring, don’t miss this opportunity and Apply Now! Responsibilities: • Manage healthcare-related inquiries, claims, and service requests with accuracy and...