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Prior Authorization Specialist

About the position

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.

Place of work

Talent Job Seeker
Pasig City
app.general.countries.Philippines

About the company

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Relevant places near

  • Quezon City
  • Manila
  • Caloocan City
  • Taguig
  • Pasig City
  • Las Piñas
  • Antipolo
  • Makati City
  • Pasay
  • Bacoor



Job ID: 9713128 / Ref: d4e55c368202dd51f603067435c411cd

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