Authorization Coordinator

2 weeks ago

Taguig, National Capital Region, Philippines Tenet Healthcare Full time ₱1,200,000 - ₱2,400,000 per year

Position Summary:

The individual in this position works under direction of Case Manager/UR RN or Social Worker with a primary role of supporting the daily operations of the UR team through the completion of various administrative duties. The individual's responsibilities include but are not limited to:

  • Index, process, and document the incoming payer faxes containing authorization, requests for clinical information, denials, or other notices
  • Follow up (by phone or by accessing Payer Portals) during the stay or post discharge on patient accounts requiring authorization for the stay and or days approved and document the information in the designated electronic system
  • Obtain or confirm, as necessary, the payer fax numbers needed to submit clinical reviews
  • Follow up during the stay and on or after discharge with the submission of clinical information using approved methods for the role (Transcription, DC summary)
  • Escalate any potential disputes or denial of accounts to director of Case Management or designee
  • Collaborate with other roles/departments
  • Other duties as assigned

Qualifications:

  • Relevant bachelors degree
  • Has good command of the English language
  • At least 2 years of experience performing prior authorization in healthcare

Work Setup

  • Hybrid work arrangement
  • Night shift work schedule

Benefits:

  • 15% Night differential
  • 20 Paid Time Off (PTO) per year
  • Annual Appraisal
  • Annual Incentive
  • Weekends off
  • HMO with 2 dependents
  • Group life insurance

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