Prior Authorization Specialist

3 days ago

Philippines Portiva Full time ₱360,000 - ₱720,000 per year

Portiva started in 2009 with our mission to help Doctors and Medical Practitioners manage their practices better. Since then, Portiva has grown from a 3-person operation to one of the largest and most successful Medical and Dental Staff Providing Companies in the United States.

We are looking for an experienced Prior Authorization Specialist to provide administrative support to US-based doctors, nurses, or other healthcare professionals in their clinical practice.

This is a work-from-home opportunity.

This is a full-time position, 30-40 hrs a week

The rate is $7 an hour or Php 61,000+ per month

A Prior Authorization Specialist plays a crucial role in ensuring smooth operations in a medical facility. Their responsibilities often include but not limited to:

  • Review Medical Record and process prior authorization requests for medical procedures, diagnostics, medications, DME, Referrals or Visit
  • Verify patient insurance coverage and policy requirements.
  • Communicate with healthcare providers to obtain necessary documentation.
  • Submit and track authorization requests to ensure timely approvals.
  • Resolve denials and follow up on pending authorizations.
  • Ensure compliance with insurance guidelines and company policies

Requirements and skills:

  • 2 years of Prior Authorization experience either in medical procedures, diagnostics, medications, DME, Referrals or Visit is required
  • Extensive knowledge with Insurance Portals and EHR/EMR Software
  • A degree in Medical and Health sciences is preferred.
  • HIPAA Certification is a plus
  • Excellent English speaking skills (both oral and written proficiency)
  • At least 1-2 years of experience in a medical-related background, Worked previously as Virtual Assistant in a medical setting
  • Proficient computer skills, including Microsoft Office Suite and/or G Suite and other technology tools
  • Able to manage time effectively and efficiently
  • Able to organize and manage large amounts of files, tasks, schedules, and information

If this sounds like you, please complete this form:

We will ONLY accept applications via the Google form above.

We will contact you within 3-5 days if you fit the requirements.

*Important Note*: Please make sure to check your spam or junk folders for the initial assessment invite. Sometimes, our emails may get filtered, and we wouldn't want you to miss this important step in the hiring process If you find our email there, be sure to move it to your inbox and mark it as "Not Spam" to ensure you receive all future emails from us directly in your inbox

Good luck

Job Type: Full-time

Pay: Php60, Php65,000.00 per month

Benefits:

  • Paid training
  • Pay raise
  • Work from home

Work Location: Remote

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