clinical authorization jobs in Manila

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...

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...

About the job CLINIC REFERRAL & PRIOR AUTHORIZATIONSummaryResponsible for the coordination and completion of assigned patient referrals and prior authorization requirements. Ensures referrals and authorizations are processed accurately and timely to support patient access to services, minimize delays in care, and reduce the risk of claim denials related to...

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...

Optum Philippines in Metro Manila is seeking qualified nurses for clinical coverage review roles. Valid USRN and PHRN licenses are required, with at least 1 year of hospital bedside nursing and 1 year of prior authorization review experience. Strong clinical understanding and computer navigation are essential.Join a team that supports member care and...

Optum Philippines in Metro Manila is seeking qualified nurses for clinical coverage review roles. Valid USRN and PHRN licenses are required, with at least 1 year of hospital bedside nursing and 1 year of prior authorization review experience. Strong clinical understanding and computer navigation are essential. Join a team that supports member care and...

Accenture is seeking a Health Clinical Services Analyst in Quezon City, Philippines to support clinical and administrative workflows. The role verifies eligibility, benefits, and handles pre-certification and prior authorization requests in client systems.You will obtain intake information, perform data entry, and coordinate with providers and nurses to...

Schedule: Monday to Friday, 9:00 AM to 6:00 PM U.S. Central TimeSalary: $360 to $470 per month, based on qualifications and experienceAbout PsychPlusPsychPlus is reimagining how mental health care is delivered in the United States through a modern, digital-first model. We provide care both in person at our offices across Texas and virtually, combining...

About Sailor Health Sailor 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...

Job Purpose The Quality Analyst supports quality auditing, analysis, reporting and the development of plans that lead to positive outcomes. The Quality Analyst will work on risk identification, diagnosing issues, identifying process improvement solutions and process improvement implementation methods utilizing sound principles. Continuous engagement and...

AdminEdge is seeking a Hospice Intake, Scheduling & Authorizations Specialist to join our remote-first team serving U.S. clients on CST hours. The role focuses on intake management, scheduling across markets, and handling insurance authorizations with accuracy and urgency. The ideal candidate will have 3+ years supporting US-based hospice agencies, strong...

Position: Hospice Intake, Scheduling & Authorizations Specialist Job Type: Full-time (40 hours/week) Location: Philippines (Remote, CST hours) Salary: $7.00 - $8.00 per hour Overview Our client is a Texas-based healthcare organization providing compassionate home health and hospice services across multiple markets. With a focus on patient comfort,...

A Medical Virtual Assistant – Prior Authorization Specialist manages the end-to-end prior authorization process for our healthcare practitioners. You will serve as the primary liaison between healthcare providers, insurance companies, and patients to ensure timely approvals for procedures, medications, diagnostic testing, and specialist referrals. Your...

Clinical Care Coordinator Employment Type: Full-Time Work Arrangement: Fully Remote | Independent Contractor Schedule: U.S Business Hours About the Role We are seeking a Clinical Care Coordinator with a strong clinical background to remotely support a U.S.-based healthcare practice. This role is ideal for a qualified healthcare professional who has...

Healthcare Prior Authorization Coordinator Non-Clinical Work Set-up: Onsite - Potential to WFH after training Location: Valero, Makati City Schedule: Graveyard | Shifting Hours Position Summary The Healthcare Prior Authorization Coordinator is responsible for providing administrative support to the Utilization Management (UM) department by coordinating prior...

We are seeking a highly organized and detail-oriented Clinical Administrative Coordinator to support our clinical operations by managing high-volume patient and clinical email communications. This role will be responsible for monitoring shared clinical inboxes, responding to patient requests, coordinating with providers and clinical staff, and ensuring that...

RRP Prior Authorization Specialist Location: Remote (Philippines) Company: Freedom Health Systems, Inc. (Supporting affiliated customer organizations under contract) Work Setup: Remote Job Type: Independent Contractor (W-8BEN) - Full-Time Shift & Schedule: Monday through Friday, 8:00 AM - 5:00 PM Eastern Time (EST) Pay Rate: $5 - $5.50 (commensurate with...

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...

AdminEdge is seeking a Hospice Intake, Scheduling & Authorizations Specialist to join our remote-first team serving U.S. clients on CST hours. The role focuses on intake management, scheduling across markets, and handling insurance authorizations with accuracy and urgency. The ideal candidate will have 3+ years supporting US-based hospice agencies, strong...

Position: Hospice Intake, Scheduling & Authorizations Specialist Job Type: Full-time (40 hours/week) Location: Philippines (Remote, CST hours) Salary: $7.00 - $8.00 per hour Overview Our client is a Texas-based healthcare organization providing compassionate home health and hospice services across multiple markets. With a focus on patient comfort,...