Jobs for authorization at Taguig

Company Profile: This company is a Technology-based express delivery company that uses advanced systems to improve the quality of service to clients and customers here in the Philippines and other countries around the globe. Position: Mandarin Authorization Analyst Company Industry: Biggest Logistics Company Work Location: BGC, Taguig City Work Schedule:...

Position: Clinical/Prior Authorization - Quality Auditor Qualifications: Must hold an active PHRN license (not a USRN license holder)Must have at least solid 4 to 7 years experience in Clinical/Prior Authorization or Utilization ReviewRelevant experience as a Quality Auditor in Clinical Services within a healthcare BPO environment (preferred only, not...

About the Role:LeadAdvisors is looking for a Community Engagement Specialist to own our brand presence across LinkedIn, Reddit, X, and other relevant platforms. This is not a post-and-pray role. You will be an active participant in the communities where our clients, prospects, and industry peers spend time.You will work directly with the content and...

OverviewJob title: PHRN – Clinical AuthorizationWork set up: Onsite Opportunity – MCK Taguig, Cyber Sigma BuildingWork schedule: Weekdays Night Shift schedule, Fixed Weekends OffSalary: 45K to 50K package if licensed PHRN, salary for approval if non-licensedResponsibilitiesContact insurance carriers to verify patient’s insurance eligibility, benefits...

COMPANY PROFILE: A leading and rapidly expanding game development software company. This entertainment provider specializes in creating software for electronic gaming and sports betting. They are currently seeking Mandarin-speaking professionals to join their well-established team. Position: Mandarin HR & Admin Authority Company Industry: Entertainment...

COMPANY PROFILE: A leading and rapidly expanding game development software company. This entertainment provider specializes in creating software for electronic gaming and sports betting. They are currently seeking Mandarin-speaking professionals to join their well-established team. Position:Mandarin HR & Operations Authority Company Industry:...

We are seeking a detail-oriented and organized Prior Authorization Specialist to join our healthcare team. In this role, you will be responsible for obtaining prior authorizations for medical procedures, diagnostic tests, and medications from insurance providers. You will serve as a key liaison between healthcare providers, patients, and insurance...

Responsibilities: Assist in the initiation of new prior authorization requests to providers Identify the correct prior authorization form required for the patient’s insurance provider Coordinate with prescribers and medical offices to ensure applicable information is translated onto prior authorization forms Follow up with medical offices to check the...

Go Lean Health is seeking a Back-Office Insurance & Prior Authorization Virtual Medical Assistant to support a nonprofit behavioral health organization in the United States. This remote role focuses on administrative and insurance work to move patients through enrollment and prepare them for care.Strong organization and payer portal experience are essential....

OverviewJob title: PH USRN Authorization NurseWork set up: Onsite in BGC TaguigWork shift: Night shiftBudget: 40K - 60K package (4-6 yrs)Headcount: 1Job DescriptionThe Prior Authorization Nurse (USRN) will support the review and submission of prior authorization requests for behavioral health treatments, medications, or services. The nurse will review...

Vector Outsourcing Solutions Phils. is seeking a Prior Authorization specialist to handle requests via the Scheduling module of the EHR or via phone/fax, ensuring timely monitoring and processing.Responsibilities include reviewing medical history and coverage, submitting records to insurers, coordinating with physicians and patients, and documenting in the...

COMPANY PROFILE: A leading and rapidly expanding game development software company. This entertainment provider specializes in creating software for electronic gaming and sports betting. They are currently seeking Mandarin-speaking professionals to join their well-established team. Position: Mandarin HR & Back office Authority Company Industry:...

Key Responsibilities:  Working within Epic and Surescripts ePA to process prior authorizations.  Working in Epic and CoverMyMeds as needed to process prior authorizations.  Communicating denials to clinic staff within Epic Telephone Encounter.  Maintaining quality standards and turnaround times.  Follow up on e-PA’s due to denials or...

About the job PHRN - Utilization Review / Clinical AuthorizationWe're Hiring: PHRN Quality Auditor Clinical ServicesLocation: Onsite, Mckinley, TaguigSchedule: Night Shift | Monday to FridayHiring Target Date: Preferably by July 21, 2025Salary Range: Up to 50kQualificationsMust hold an active PHRN license (Not a USRN holder)Prior experience as a Quality...

Tata Consultancy Services in Taguig, Philippines seeks licensed nurses for behavioral health prioritization roles, focusing on psychiatric medication prior authorizations and care coordination. The role emphasizes accurate documentation, patient interactions, and timely processing in a fast-paced setting.The candidate will gather and verify clinical data,...

**T**o check the complete job description and to directly apply please use this link: ***https://dmeserve.rec.pro.ukg.net/DME1001DMES/JobBoard/1c02e826-3376-4a9d-92eb-aaa42a63ca27/Opportunity/OpportunityDetail?opportunityId=ab0e597c-28f2-40bc-b5ba-e420289c3497*** Benefits: - Additional leave - Company Christmas gift - Company events - Health insurance -...

Back-Office Insurance & Prior Authorization Remote | Behavioral Health | 30 hours/week | $6/hourWorking Hours: 11:00 AM to 7:00 PM US Central Time Role Overview We are seeking an experienced Back-Office Insurance & Prior Authorization Virtual Medical Assistant to support a nonprofit behavioral health organization in the United States. This position will...

COMPANY PROFILE: A leading and rapidly expanding game development software company. This entertainment provider specializes in creating software for electronic gaming and sports betting. They are currently seeking Mandarin-speaking professionals to join their well-established team. Position:Mandarin HR & Operations Authority Company Industry:...

COMPANY PROFILE: A leading and rapidly expanding game development software company. This entertainment provider specializes in creating software for electronic gaming and sports betting. They are currently seeking Mandarin-speaking professionals to join their well-established team. Position: Mandarin HR & Admin Authority Company Industry: Entertainment...

This job reviews requests for medication coverage determination for prior authorization review and appeals. Through the Utilization Review system, the Pharmacist for Utilization Management evaluates clinical information provided by the physician against medical policy criteria. The incumbent then uses his/her clinical knowledge compared to the policy and...