Prior Authorization Specialist
HRTXPasig City, Metro Manila, Philippines30+ days ago
Job descriptionContacting insurance companies to request prior authorization for specific medical procedures or prescriptions. Verifying Information : Checking patient eligibility, benefits, and coverage with insurance companies. Documenting Interactions : Keeping detailed records of all communications with insurance companies and patients. Managing Denials : Investigating denials, resubmitting requests, and potentially appealing decisions to ensure patient access to necessary care. Communicating with Patients : Explaining the prior authorization process to patients, including potential delays and financial implications. Collaborating with Providers : Working closely with healthcare providers to collect necessary clinical information for authorization requests.
Qualifications :
- Bachelor's degree in any allied medical course
- At least 6 months of experience in prior authorization
- Strong communication skills, both verbal and written
- Willing to work onsite
Job Description :
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Specialist • Pasig City, Metro Manila, Philippines
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