Prior Authorization Consultant

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