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- ...Core Responsibilities: Manage end-to-end prior authorizations, insurance verifications, and pre-op documentation for 4 assigned providers Submit prior authorization requests for MAC and light anesthesia procedures accurately and promptly Verify patient eligibility...
- ...Prior Authorization, Verification and Eligibility Location: Bridgetowne, Quezon City Work Setup: Onsite Schedule: Night Shift We are looking for an experienced Account Specialist team under Patient Access – Benefits & Authorization. Key Responsibilities...
- ...We’re looking for a detail-oriented and experienced Prior Authorization Specialist to join our growing team. In this role, you will be responsible for handling pre-certifications, verifying insurance coverage, and ensuring timely approvals for medical procedures, medications...
- ...What You’ll Do: Process pre-certifications and pre-authorizations for radiology procedures Verify insurance, referrals, and authorization requirements Create and manage cases through eviCore and insurance portals Review clinical documentation and follow up...
20000 - 30000 Php
...MedSpecialized, Inc. is looking for a Virtual Medical Assistant – Medication Prior Authorization!. Job Overview We are looking for Pharmacists and Pharmacy Technicians to provide support with medication prior authorizations and pharmacy-related administrative...- ...Healthcare Customer Service Representative – Patient Access / Prior Authorization Position Overview The Healthcare Customer Service Representative (CSR) provides support to patients, healthcare providers, and insurance members by assisting with insurance eligibility...
- ...ready to contribute to our mission, just like you! Account specific roles and responsibilities Process Initial or Pre-Authorization via Phone or via Email Respond to provider requests Communicate to insurance providers for authorization determination...
- ...This is a remote position. Rockstar is hiring a full-time Prior Authorizations & Clinical Intake Virtual Assistant on behalf of our client, a home medical equipment and supply provider. This role specializes in prior authorizations, clinical intake, and medical...
- ...This is a remote position. Rockstar is hiring a full-time Authorization Specialist Virtual Assistant on behalf of a large, high-volume... ...Management (Primary Focus) Submit and manage prior authorization requests for patient treatment Track authorizations...
- ...Job title: PHRN – Clinical Authorization Work set up: Onsite Opportunity – MCK Taguig, Cyber Sigma Building Work schedule:Weekdays... ...USRN license At least 6 months of experience in Clinical or Prior Authorization, with familiarity in medical necessity guidelines...
- ...Job title: PH USRN Authorization Nurse Work set up: Onsite in BGC Taguig Work shift: Night shift Budget: 40K - 60K package (4-6 yrs) Headcount: 1 Job Description: The Prior Authorization Nurse (USRN) will support the review and submission of prior authorization...
- ...The Cards Authorization and Fraud Detection Associate is mainly responsible for monitoring real time queue of card transactions to ensure success rate of card transactions and at the same time observes customer transactions to identify potential risks and resolves the...
- ...ready to contribute to our mission, just like you! Account specific roles and responsibilities: Process Initial or Pre-Authorization via Phone or via Email Respond to provider requests Communicate to insurance providers for authorization determination...
- Are you ready to start your legaSEA? SEAOIL is looking for passionate talents to help make a difference in the lives of Filipinos and fuel their better future. Here's your chance to grow your career with the largest and leading independent fuel company in the country -...
- Are you ready to start your legaSEA? SEAOIL is looking for passionate talents to help make a difference in the lives of Filipinos and fuel their better future. Here's your chance to grow your career with the largest and leading independent fuel company in the country -...
- Onsite Interview | 1-Day Hiring Process | Same-Day Job Offer We’re looking for dedicated and customer-focused individuals to join our team as Voice/Nonvoice Call Center. In this role, you'll serve as the first point of contact for our customers—handling inquiries, resolving...
- ...Openings: 9 Qualifications: Active PHRN License At least 1 year of BPO (Voice) experience OR 1 year of Healthcare / Prior Authorization experience Compensation: PHP 40,000 – PHP 50,000 Requirements for both roles: Willing to work onsite in IT Park, Cebu...
- Work with a Top 20 CPA and advisory firm that Accounts for Anything. Aprio has 40 U.S. office locations, as well as international office locations and more than 3,200 team members that speak 60+ languages across the globe. By bringing together proven expertise, deep understanding...
- ...vendor onboarding requirements end to end: W-9s, ACH and banking authorization forms, insurance certificates, supplier questionnaires, and... ...Familiarity with AI automation tooling such as n8n or Zapier Prior experience supporting a US-based executive across time zones...
- ...quality requirements including the development, coordination and authorization of the site-specific management plans. The Project Manager... ...management experience managing budgets and schedules Prior experience managing a construction site Experience leading...
- ...emergencies promptly. Report suspicious activities and incidents to authorities. Provide assistance and directions to visitors and employees... ...in a relevant field is required. Experience Level: No prior experience is necessary; training will be provided. Skills...
- ...regulations. Support audits and respond to inquiries from tax authorities. Ensure accurate and timely payment of tax liabilities.... ...and manage multiple tasks. Preferred Skills: Internship or prior experience in a tax or accounting role. Familiarity with ERP...
- ...consumer gadgets, and electronic accessories. We are proud to be the Authorized Distributor of Fortheo products in the Philippines, with... ...restructuring an HR function from the ground up is highly preferred. Prior HR experience in retail, distribution, FMCG, consumer...
- ...Utilization Management (UM) / Back Office : PHRNs process authorization requests, conduct abstracting, or handle non-voice appeals tasks... ...assess complex short-term or long-term disability claims, prior authorizations, and treatment plans. Telehealth & Patient Navigation...
- ...builds in line with company standards and NAA of relevant governing authority and leadership of the planning team for both line and base... .... Review all aircraft maintenance project invoices/billings prior to sending out to customer/operators, service partners and OEM...
- ...procedures. 6. Serve as primary point of contact for data protection authorities and regulatory agencies. 7. Respond to inquiries from data... .... With at least 1 year work experience as paralegal. Prior involvement in Data Privacy matters would be desirable....
- ...escalate clinical concerns to the Care Manager when needed. Support patients in navigating insurance requirements, including prior authorizations and out-of-network waivers. Must Have Qualifications: High school diploma (required) Associate’s degree in...
- ...rates match market codes, document exceptions. Secure payment prior to issuing room key, verify/adjust billing. Compile and review... ...and secure bank at beginning and end of shift. Obtain manual authorizations and follow all Accounting procedures. Notify Loss Prevention/Security...
- ...critical bridge between internal operations, clients, and regulatory authorities. The sales coordinator will manage the logistics, cold-chain... ..., Pharmaceutical Sciences, or related field Experience: Prior experience in freight forwarding, sales support within air/sea...
- ...tax laws. ~ The role includes representing clients before tax authorities, drafting legal documents for tax cases, and negotiating... ...experience relating to compliance and regulatory matters. ~ Must have prior experience as a tax lawyer ~ A strong background in taxation...