Healthcare Prior Authorization Specialist

Job OverviewWe are seeking a detail-oriented and motivated Prior Authorization Specialist with a background in the medical allied field. The successful candidate will be responsible for handling prior authorization requests, ensuring accuracy and compliance with payer requirements, and supporting healthcare providers in securing approvals for medical...

We're Hiring: Healthcare Authorization & Eligibility Specialist TheBenefits Specialist(Healthcare Authorization & Eligibility Specialist) plays a key role in ensuring seamless operations regarding the authorizations and eligibility of our customers' clients. This person is responsible for handling eligibility verification, authorization renewals, missing...

WITH SIGNING BONUS*Setup: On-site in Ortigas, PasigSchedule: Shifting schedule (predominantly night shift)Role Requirements:Must have an active PHRN licenseWith BPO experience, at least 1 year in prior authorization OR 1 year eligibility, claims, and benefits (payer)Good English communication skillsKnowledge of healthcare regulations and complianceAbility to...

We are seeking a detail-oriented and compassionate Customer Service Representative (CSR) to join our Healthcare team, specifically supporting prior authorization services. In this role, you will assist patients, providers, and pharmacy professionals by verifying benefits, explaining coverage, and facilitating prior authorization requests for healthcare...

Position Name: USRN – Dialysis Triage/Prior Authorization/Hospital ExperienceQualifications:Has active PHRN licenseHas active USRN license (Mainland States)Has at least 5 -10 years hospital bedside care experience in Dialysis (home dialysis experience is preferred)OR Has 1-2 years bed side experience in (ICU, Telemetry, ED & Medical Surgical)Has 1 year of...

About the Role:The Benefits Specialist plays a key role in ensuring seamless operations regarding the authorizationsand eligibility of our customers' clients. This person is responsible for handling eligibility verification,authorization renewals, missing client or claims issues, conducting authorization research, andparticipating in the customer onboarding...

6 mos. Voice US Healthcare ExperienceEnd to End Prior Authorization experienceWilling for On-site opportunity along Pasig, OrtigasHandle inbound and outbound calls, emails, or chats to assist customers with inquiries, concerns, or complaints.Resolve customer issues efficiently and professionally, ensuring high customer satisfaction.Document customer...

We're Hiring: Accounts & Payment Posting Specialist (Healthcare) We are looking for a detail-oriented and experienced Accounts & Payment Posting Specialist to join our healthcare team. The ideal candidate will have a solid understanding of healthcare billing processes, with the ability to manage accounts receivable and ensure accurate payment posting.Job...

Connext Global Solutions is a dedicated team of business process outsourcing experts and innovators, with experience in supporting world-class companies in Title and Escrow, Healthcare, Produce Distribution, Retail and Fashion, Design Consulting, and Finance.We are currently looking for anFinancial Clearance Specialistwho will be working with Connext's...

About the Role:The Audit Specialist supports the Audit department by auditing, submitting, monitoring, and resolving VAand Medicaid claims for Home Health, Home Health Aide, and Respite Care services. This role requiresstrong knowledge of insurance coverage, state-specific billing regulations, authorization requirements,and timely filing guidelines,...