clinical authorization jobs in Pasig

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...

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...

Job Description: Location: Remote, Philippines Job Type: Full-Time Work Location: Remote Schedule: Monday to Friday, 9:00 AM to 6:00 PM U.S. Central Time Salary: $360 to $470 per month, based on qualifications and experience About PsychPlus PsychPlus is reimagining how mental health care is delivered in the United States through a modern, digital-first...

We are seeking a highly organized and experienced Prior Authorization Specialist – Surgery to support a U.S.-based healthcare organization in managing surgical authorization requests for inpatient and outpatient procedures. The ideal candidate has extensive experience in surgical prior authorizations, proficiency in Epic EMR, and a strong understanding of...

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...

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...

Neolytix is seeking a Healthcare Associate for remote work from the Philippines. The role centers on prior authorization within healthcare settings, including BPOs, hospitals, clinics, payer-services teams, or revenue cycle departments.You will submit authorization requests, gather clinical documentation, track status, and handle follow-ups. Collaboration...

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...

About the Role This is a working leadership role. The PA&R Manager owns the daily operations of the offshore team end to end: queuehealth, service level attainment, staff scheduling and development, clinic and provider relationships, and continuousimprovement. You will report directly to the Clinical PA&R Owner (US-based) and beaccountable for the team...

A healthcare support service provider is seeking a professional with experience in prior authorizations to coordinate and manage documentation and communication. You will utilize eClinicalWorks for effective records management and ensure compliance with HIPAA standards while supporting both administrative and clinical workflows. Strong communication and data...

We are seeking an experienced Virtual Referral & Prior Authorization Coordinator to join a growing Primary Care and Family Medicine practice in the US. This role requires recent, hands-on experience using eClinicalWorks (eCW) to seamlessly integrate into established workflows. You will take full ownership of processing patient referrals and insurance prior...

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...

CLINICAL CODING ANALYST Key Responsibilities Review and analyze claims that have been denied due to coding-related issues, including diagnosis codes (ICD-10-CM), procedure codes (CPT/HCPCS), and related modifiers. Identify coding discrepancies, documentation deficiencies, and other factors contributing to claims denials, utilizing a thorough...

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...

Remote | Gastroenterology Practice | 40 hours/week | $5-$6/hour Schedule: Sat - Wed 12:00 PM to 8:00 PM Central Time Position Overview We are seeking an experienced and highly organized Medical Receptionist & Clinical Administrative Coordinator to support a growing U.S.-based gastroenterology practice operating across two physical clinic locations. This...

Neurology Medical VA- Patient Care Coordination & Prior Authorization Salary : ₱5 - 6 hourly Company : Winning Assistants Llc Job Type : Full Time Remote / Work from Home Job Description - Neurology Medical VA- Patient Care Coordination & Prior Authorization Description Job Title: Neurology Medical Virtual Assistant – Patient Care Coordination &...

We are seeking an experienced and detail-oriented Prior Authorization Specialist to join our busy retina/ophthalmology practice. The ideal candidate will have hands-on experience managing prior authorizations for ophthalmology or retina procedures, treatments, medications, and services, along with a strong understanding of insurance requirements and payer...

Medical Receptionist & Clinical Administrative Coordinator Remote | Gastroenterology Practice | 40 hours/week | $5-$6/hourSchedule: Sat - Wed 12:00 PM to 8:00 PM Central Time Position Overview We are seeking an experienced and highly organized Medical Receptionist & Clinical Administrative Coordinator to support a growing U.S.-based gastroenterology practice...