Prior Authorization Consultant | Work From Home | POOLING

Salary: 30,000 PHP- 35,000/ month

Job Description:

- Receive requests for prior authorizations using the Scheduling module of the Electronic Health Record (EHR) and/or via phone or fax and ensure that they are closely monitored.

- Process referrals and submit medical records to insurance carriers to expedite prior authorization processes.

- Review the patient's medical history and insurance coverage for approval.

- Manage correspondence with insurance companies, physicians, specialists, and patients as needed, including documenting in the EHR as appropriate.

- Assist with the necessary documentation to expedite approvals and ensure that appropriate follow-up is performed.

- Review the accuracy and completeness of the information requested and ensure that all supporting documents are present.

Minimum Qualifications:

- Graduate of Bachelor's Degree (preferably in Medical, but not required)

- Consultancy basis minimum of 6 months consultancy contract (subject for renewal)

- At least 1 year of background with Prior Authorization under a BPO healthcare account is an advantage

- Must have excellent English communication skills, both written and oral

- Ability to prioritize and organize multiple tasks

- Willing to work in shifting schedules, mostly night shift

- Able to Work From Home, must have a reliable internet connection

Others:

- Equipment/ company computer is provided

- Work from Home

Originally posted on Himalayas