Prior Authorization Specialist

1 week 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

  • Prior Authorization Specialist

    1 week ago

    Philippines Staffing for Doctors Full time ₱25,000 - ₱70,000 per year

    Staffing for Doctors is seeking a highly skilled Prior Authorization Specialist with experience using Modernizing Medicine (ModMed) software. In this role, you will be responsible for obtaining prior authorizations for various medical services, ensuring timely and accurate submissions to insurance carriers. Your experience with ModMed will be crucial in...

  • Prior Authorization Specialist

    1 week ago

    Philippines BizForce Full time ₱80,000 - ₱120,000 per year

    We are looking for an experienced Prior Authorization Specialist with a strong background in Pulmonology, Gastroenterology, and Internal Medicine. The ideal candidate will be responsible for obtaining timely prior authorizations, verifying insurance coverage, and ensuring accurate documentation to support smooth patient care delivery. Experience...

  • Prior Auth Specialist

    5 days ago

    Philippines Finni Health Full time

    About Finni HealthFinni Health empowers autism care providers to start, run, and grow their own practices. We democratize autism care by providing access to our insurance network, purpose-built EHR software, HR solutions, and clinical support. We've experienced rapid growth and are backed by top-tier investors like General Catalyst and YCombinator. We seek...

  • Peer Review Specialist

    1 week ago

    Philippines Remote Raven Full time ₱30,000 - ₱35,000 per year

    Position SummaryWe are seeking a highly skilled and detail-oriented Peer Review Specialist to support our Residential, PHP, and IOP levels of care. This individual will be responsible for conducting peer reviews, case consultations, and interfacing with insurance payers to obtain continued authorization. The ideal candidate will be a licensed clinical or...

  • Urgent Hiring for Billing Specialist

    4 weeks ago

    , Davao del Sur, Philippines TalentSync Training and Development Full time

    We arelooking for a motivated and detail-oriented Billing Specialist to join our dynamic team in Davao City, Davao del Sur. As a Billing Specialist , you will play a crucial role in ensuring the accuracy and efficiency of our billing processes. This full-time position offers competitive compensation and the opportunity to contribute to the growth and success...

  • Full Cycle RCM Manager

    1 week ago

    Philippines BizForce Full time $40,000 - $80,000 per year

    We are seeking a hands-on Revenue Cycle Management (RCM) Manager with specialized experience in Emergency Medical Services (EMS) and Emergency Medical Technicians (EMT). This role requires a doer/manager—someone ready to oversee the full RCM process while actively contributing to day-to-day operations.Key Responsibilities:Manage and oversee the end-to-end...

  • Utilization Review Specialist

    1 week ago

    Philippines Remote Raven Full time ₱20,000 - ₱32,000 per year

    The Utilization Review Specialist is responsible for managing all aspects of the utilization review process, including preauthorization, Single Case Agreements (SCA), continued authorizations, and collaboration with clinical staff to ensure documentation meets insurance requirements. This role is crucial in securing necessary authorizations for various...

  • Medical Administrative Assistant

    4 days ago

    Philippines Staffing for Doctors Full time

    We are seeking a highly skilled and reliable Medical Administrative Assistant to support a Neurosurgery practice. This role requires exceptional organizational skills, strong medical administrative experience, and the ability to think several steps ahead. The ideal candidate will handle complex tasks such as prior authorizations, patient scheduling, and...

  • Loan Application Specialist

    1 week ago

    Philippines D2B Full time ₱61,000 - ₱100,000

    Position: Loan Application SpecialistSalary: PHP 61,000 - PHP 100,000 (depending on level of experience)Working Hours & Conditions: Monday to Friday, 9:00 AM – 6:00 PM Sydney Time (7:00 AM – 4:00PM PH Time) Holidays: New Years Day, Good Friday, Easter Monday, Christmas Day and Boxing DayOVERVIEW:The Loan Application Specialist is responsible for...

  • SEO Specialist

    1 week ago

    Philippines Huzzle Full time ₱24,000 - ₱60,000 per year

    SEO Specialist (GSO + Content Distribution)We're looking for an SEO Specialist to help scale Huzzle, a VC-backed company growing 37% MoM in a massive market. You'll work directly with the founders and growth team to build and execute our GSO (growth search optimization) and SEO strategy from the ground up.If you're a resourceful operator who knows how to...