clinical authorization

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...

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...

Qualifications PHRN license holder Prior experience in Utilization Review and/or Clinical Authorization Responsibilities Contact insurance carriers to verify patients' insurance eligibility, benefits, and requirements. Request, track, and obtain pre-authorizations from insurance carriers within the required timeframe for medical services. Review, request,...

A healthcare consulting firm in Taguig is looking for a PHRN – Clinical Authorization specialist. This role involves verifying insurance eligibility, managing authorizations for medical services, and documentation of medical necessity. Candidates should have a BS Nursing degree and at least 6 months of relevant experience. This opportunity is onsite with a...

AGS Health Philippines, Inc. is seeking a qualified Utilization Review professional in the Philippines to verify insurance eligibility, obtain pre-authorizations, and review high-cost oncology treatments.The role requires a PHRN license and prior experience in utilization review or clinical authorization, with strong HIPAA knowledge and meticulous...

A healthcare service provider is looking for an administrative and clinical support professional in Quezon City. The role involves managing electronic medical records, processing medication authorizations, and scheduling patient appointments. Ideal candidates should be graduates of related healthcare courses and possess strong communication and...

Experience these exceptional benefits when you join Med-Metrix! 8-Hour Shifts, Fixed Weekends Off Day 1 HMO with 2 of your dependents covered for FREE Group Life Insurance Medical Cash Allowance Rice Allowance Clothing Allowance Holiday Gift Bereavement Assistance Free Lunch Daily Paid Time Off Training and Staff Development Employee Engagement...

Location: Med‑Metrix Pasig, National Capital Region, Philippines Position Authorization Representative Benefits 8‑Hour Shifts, Fixed Weekends Off Day 1 HMO with 2 dependents covered for FREE Group Life Insurance Medical Cash Allowance Rice Allowance Clothing Allowance Holiday Gift Bereavement Assistance Free Lunch Daily Paid Time Off Training and Staff...

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...

Our US partner is one of the leading Medical Digital Imaging Service Providers in New Jersey. They offer a full spectrum of diagnostic imaging services in comfortable, convenient, and friendly outpatient imaging centers. As a Prior Authorization Specialist, you are responsible for obtaining pre-certifications and pre-authorizations for procedures and...

Job Summary: Reporting to the Clinical Director and working closely with the Clinical Team, this role plays a key part in ensuring the financial health of the organization. The position serves as a vital link between patients with mental health and/or substance use disorders and insurance providers, healthcare services, and billing operations. It is...

Remote Raven is hiring a full-time Prior Authorization Coordinator to support a multi-location dermatology and skin cancer surgical group in Arizona. The practice provides medical dermatology, skin cancer detection and surgical treatment, aesthetics, and allergy services across several Arizona locations, and it performs a steady volume of scheduled surgical...

Remote Raven is hiring a full-time Prior Authorization Coordinator to support a multi-location dermatology and skin cancer surgical group in Arizona. The practice provides medical dermatology, skin cancer detection and surgical treatment, aesthetics, and allergy services across several Arizona locations, and it performs a steady volume of scheduled surgical...

Prior Authorization, Verification and Eligibility Location: Bridgetowne, Quezon CityWork Setup: OnsiteSchedule: Night ShiftWe are looking for an experienced  Account Specialist team under Patient Access – Benefits & Authorization. Key Responsibilities: Supervise daily operations involving insurance verification, benefits review, package registration,...

We are seeking a detail-oriented and experienced Prior Authorization Specialist to manage  the full lifecycle of prior authorizations (PAs) for medical services. The ideal candidate will be responsible for timely submission, meticulous follow-up, and effective resolution of all prior authorization requests and subsequent appeals. This role is critical in...

We are seeking a detail-oriented and experienced Prior Authorization Specialist to manage  the full lifecycle of prior authorizations (PAs) for medical services. The ideal candidate will be responsible for timely submission, meticulous follow-up, and effective resolution of all prior authorization requests and subsequent appeals. This role is critical in...

About Sailor HealthSailor Health is revolutionizing mental health care for older adults, addressing one of the fastest-growing and most underserved healthcare segments in America. With over 60 million seniors expected to make up nearly 25% of the population by 2030, we’re entering a period of unprecedented demand for care. Yet, today, millions of older...

Position Type: Full Time Location: Philippines (Remote) Schedule: Monday to Friday, 8am - 5pm CST About the Company Our client is a leading ophthalmology clinic based in Texas with 17 locations and over 50 doctors. They are committed to employee fulfillment and career growth, guided by their core values: integrity, respect, empathy, accountability,...

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...

Position Type: Full TimeLocation: Philippines (Remote)Schedule: Monday to Friday, 8am - 5pm CSTAbout the CompanyOur client is a leading ophthalmology clinic based in Texas with 17 locations and over 50 doctors. They are committed to employee fulfillment and career growth, guided by their core values: integrity, respect, empathy, accountability, compassion,...