Sign up with

Already have an account? Log in here

Need some help?
Talk to us at +91 7670800001

Prior Authorization Consultant | Work from Home at Vector Outsourcing Solutions Phils. Inc.

Manila, National Capital District, Philippines -

Full Time

Start Date

Immediate

Expiry Date

29 Jul, 26

Salary

35000.0

Posted On

30 Apr, 26

Experience

0 year(s) or above

Remote Job

Yes

Telecommute

Yes

Sponsor Visa

Skills

Prior authorization, Electronic health record, Medical records management, Insurance verification, Communication, Time management, Data accuracy, Healthcare administration

Industry

Outsourcing and Offshoring Consulting

Description

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

Responsibilities

The consultant will process prior authorization requests by reviewing medical history and insurance coverage while coordinating with insurance carriers and healthcare providers. They are responsible for maintaining accurate documentation within the Electronic Health Record system and ensuring all supporting documents are complete.