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Prior Authorization Specialist

Prior Authorization Specialist

HRTXPasig City, Metro Manila, Philippines
30+ days ago
Job description

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 :

  • Contacting 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.
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    Specialist • Pasig City, Metro Manila, Philippines

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