Prior Authorization Specialist

Overview

Role involves obtaining prior authorizations for medications, procedures, and tests in a remote setting.

Ideal candidate has 3-5 years of experience in US healthcare as a Prior Authorization Specialist.

Locations

• United States
• Philippines

Requirements

• 3-5 years experience as Prior Authorization Specialist
• Strong knowledge of insurance verification processes
• Excellent communication and interpersonal skills

Responsibilities

• Review and process prior authorization requests
• Verify insurance information and eligibility
• Handle patient inquiries regarding authorizations
• Document patient interactions in EMR
• Coordinate with healthcare providers and insurance companies
• Maintain knowledge of insurance guidelines
• Assist with notifying patients of pathology results

Benefits

• Permanent work from home
• Permanent weekends off
• Great company culture