Prior Authorization Specialist

1 week ago


Ortigas, Philippines PMConsulting Full time ₱1,920,000 - ₱2,400,000 per year

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



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