Biller/Prior Auth Specialist

20 hours ago

Work from Home, Philippines Frontline Medical Group, LLC Full time ₱300,000 - ₱336,000 per year

Qualifications – Biller / Prior Authorization Specialist

  • Skilled in insurance verification and confirming patient eligibility and benefits.
  • Experienced in authorization management, including pre-authorizations, universal authorizations, and ongoing authorizations.
  • Strong communication skills for coordinating with insurance companies, internal teams, clinicians, Sara, and myself.
  • Ability to maintain accurate and up-to-date records in the EMR, including insurance updates, authorization activities, and documentation of denials.
  • Proficient in troubleshooting authorization or billing issues such as denials, coordination of benefits, and missing or incomplete information.
  • Knowledgeable in payer regulations, requirements, and compliance standards.
  • Capable of determining when an authorization is required and ensuring all necessary documentation is gathered.
  • Able to run and review reports to ensure authorizations are current and renewed on time.
  • Proactive in notifying the team of any issues that may impact patient care or billing.
  • Competent in documenting out-of-pocket expenses, deductibles, and patient financial responsibilities.
  • Provides essential information to the billing department to support timely and accurate claims processing.
  • Willing and able to serve as backup for the Intake Department when needed.

Job Type: Full-time

Pay: Php25, Php28,000.00 per month

Benefits:

  • Paid training
  • Work from home

Application Question(s):

  • What types of payers (Medicare, Medicaid, commercial plans) have you worked with?
  • Which EMR systems have you used?
  • How do you ensure that insurance and authorization information is consistently updated and accurate?
  • What is your process when an authorization or claim is denied?
  • What experience do you have with providing necessary documentation to billing departments?
  • Are you familiar with payer-specific regulations and compliance requirements for home health or outpatient services?

Work Location: Remote

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