Role overview

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

Responsibilities

Receive requests for prior authorizations using the Scheduling module of the EHR and/or via phone or fax
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

Key facts

Remote from: Philippines
Freelance
Consultant
English

Hard skills

Prior Authorization Electronic Health Record Applications Internal Documentation Organizational Structure

Other skills

Communication
Time Management

About the company

Vector Outsourcing Solutions Philippines

Outsourcing & Offshoring

At Vector Outsourcing Solutions Phils. Inc, our mission is to establish ourselves as the ‘Best in Class’, in the delivery of healthcare management services and billing services. We handle each and every client as if they are our only client by providing individualized business plans and keeping the client informed of the ever changing healthcare industry. Our attentiveness to your billing, your practice needs and your path to success will exceed all expectations. We believe that our success can only be measured through the success of the medical practices we manage.We are fast growing US based healthcare BPO supporting medical groups, dental groups, diagnostic laboratories, urgent care centers and other ancillary health care providers. Join us now and end up on top as we continue to expand.Vision:To improve healthcare delivery by placing the needs of both providers and patients at the forefront and delivering exceptional customer serviceMission:To provide world class customer service, that drives efficiency and progress within the healthcare system, by working together in a culture of continuous improvement and innovationValues:TransparencyHonestyAccountabilityTrustResponsibilityEfficiencyAdaptabilityInnovationRespect

Company details

Company typeSME

IndustryOutsourcing & Offshoring

Company size51 - 200

Links

Website LinkedIn See all jobs

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Job 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