pre-authorization jobs in Taguig

Are you the person who notices the missing detail on a chart before anyone else does? Can you keep dozens of open requests moving, follow up without being asked twice, and turn a stack of clinical documentation into a clean, approved authorization? If you thrive in a fast-paced environment, take pride in accuracy, and want your work to directly help patients...

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...

Job Duties and Responsibilities: Verify the patient’s medical and pharmacy coverage/benefits to confirm authorization requirements via system and/or insurance portals. Validating Authorization requirement on Durable Medical Equipment (DME) for Urological and Catheter products, Incontinence supplies, thickeners, and nutritional supplements, Breast pumps...

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...

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 Duties and Responsibilities: Verify the patient’s medical and pharmacy coverage/benefits to confirm authorization requirements via system and/or insurance portals. Validating Authorization requirement on Durable Medical Equipment (DME) for Diabetic Supplies, Urological and Catheter products, Incontinence supplies, thickeners, and nutritional...

Daily monitor logs and system activity toensure alignment with our policies. Conduct regular audits and behavioral pattern analysis todetect potential fraud. Audit and verify all logged overtime, night shifts, and offset balances prior to payout approval. Timely prepare, format, and deliver clean, audited reports (worked hours, overtimes, adjustments) tothe...

Prior Authorization Specialist Salary: ₱1,500 - 2,000 monthly Company: Alpaca Health Job Type: Full Time Philippines Job Description - Prior Authorization Specialist About Alpaca Health Alpaca Health enables clinicians to become entrepreneurs, starting in autism care. We help clinicians launch and scale their own clinics by providing AI-powered software,...

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 & 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...

ClearDesk in the Philippines is seeking an Authorizations Coordinator to ensure timely patient authorizations across nursing, therapy, social work, and home health services. You will review charts, verify codes, assemble packages for payer portals, and coordinate with clinicians to support approvals and scheduling. You thrive in a high-volume, structured...

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...

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...

RRP Prior Authorization Specialist Baltimore, MD - Remote DISCLOSURES The specific statements shown in each section of this job description are not intended to be all-inclusive. They represent typical elements and criteria necessary to perform the job successfully. Job responsibilities may be modified or expanded over time, and the company will inform the...

Outsource Accelerator is the trusted source for independent information, advisory and expert implementation of Business Process Outsourcing (BPO). We are the #1 Outsourcing Authority, and we offer the worlds leading aggregator marketplace for outsourcing. We specifically provide the conduit between Philippines outsourcing suppliers and the businesses clients...

DescriptionAt Realcognita, we’re committed to solving some of the industry’s most pressing challenges in building administration, and empowering builders with the technologically advanced tools and resources they need to compete in an evolving industry. We’re proud to have partnered with some of the world’s largest, most prominent residential...

Position Summary The Pre-Litigation Demand Writer is responsible for preparing high-quality, strategic demand packages that maximize settlement value for personal injury clients. This role combines legal writing, medical record analysis, case strategy, and negotiation support to produce compelling demands that position cases for optimal recovery. The Demand...