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- Job Summary Philippine Registered Nurses (PHRNs) are responsible for collaborating with healthcare providers and members to promote quality outcomes, optimize member benefits, and ensure the effective use of resources. You will play a key role in ensuring that medically...
- ...Prior Authorizations Specialist RN/MA- Medications/ Imaging We are seeking a detail-oriented and experienced Registered Nurse or Medical Assistant with strong knowledge of U.S. healthcare systems, insurance processes, and clinical workflows. This role will support...
- What Customer Service Management contributes to Cardinal Health Customer Service is responsible for establishing, maintaining and enhancing customer business through contract administration, customer orders, and problem resolution. Customer Service Management is...
- ...Eastwood, Clark or Muntinlupa) Work Schedule: Night Shift (Following U.S. Time Zone) Position Overview The Pharmacy Prior Authorization Specialist is responsible for handling and processing medication prior authorization (PA) requests with minimal patient interaction...
- Staffing for Doctors is seeking a highly skilled Prior Authorization Specialist with experience using Modernizing Medicine (ModMed) software. In this role, you will be responsible for obtaining prior authorizations for various medical services, ensuring timely and accurate...
- ...collaboratively with team members to improve processes and achieve shared goals. What We’re Looking For: Preferably with 1 year Prior Authorization experience Exceptional communication skills—both verbal and written. A knack for problem-solving and thinking on your...
- ...decision; proactively follow up on pending requests and expiring authorizations. Document all activities and outcomes in the EHR/pharmacy... ...Job Requirements: Active RPH License is preferred . Prior Authorization experience for at least 4 years is required ....
- ...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...
- ...is ready to contribute to our mission, just like you! Account specific roles and responsibilities Review and process authorization requests from insurance companies. Handle inbound and outbound calls professionally and efficiently. Ensure that all...
- ...POSITION SUMMARY This role is responsible for processing prior authorization requests efficiently while adhering to payer guidelines and policies. ESSENTIAL FUNCTIONS Handles complex prior authorization requests including high-cost medications and procedures...
- ...POSITION SUMMARY The Prior Authorization Supervisor is responsible for overseeing the operations of the prior authorization department ensuring compliance with payer guidelines and managing staff. This role focuses on optimizing workflows training team members and ensuring...
- ...predominantly night shift) Role Requirements: Must have an active PHRN license With BPO experience, at least 1 year in prior authorization OR 1 year eligibility, claims, and benefits (payer) Good English communication skills Knowledge of healthcare...
- ...Off ~ Training and Staff Development ~ Employee Engagement Activities ~ Opportunities for Internal Mobility The Prior Authorization Representative is responsible for obtaining and providing accurate and complete data input for precertification/preauthorization...
- PHRN - Prior Authorization Review Experience Location: Quezon City (Bridgetowne) or Ortigas - Onsite Schedule: Night Shift Start Date: Within August Salary: Php 45,000 - Php 50,000 per month (based on experience) Qualifications: Must have a valid PHRN license...
GGAS Services
Metro Manilaa month ago - ...POSITION SUMMARY The role is responsible for the initiation of the prior authorization process for medical procedures medications and other healthcare services. This entry-level role involves working closely with healthcare providers insurance companies and patients...
- ...Discover your 100% YOU with MicroSourcing! Position: Insurance Verification & Authorization Specialist (Intermediate) Location: MOA, Pasay City Work setup & shift: Onsite | Night shift Why join MicroSourcing Youu0027ll have:...
- ...are more than just an employee —you are part of a team where you can truly thrive and make a difference. About The Job An Authorization Specialist is an advocate on behalf of patients and facilities to obtain approval with authorizations and referrals for different...
- ...including Insurance information, Statement of Medical Necessity, Prescription, and pertinent clinical documentation necessary for authorization process. Assists with obtaining necessary information for processing under the direction of the dispensing pharmacist....
- ...Virtual Rockstar is hiring a full-time Insurance Verification & Authorization Specialist on behalf of our client, a patient-first outpatient... ...benefit information and that authorizations are secured prior to visits, minimizing surprises for patients and preventing delays...
- ...MicroSourcing! Position: Insurance Verification and Authorization (IV/Auth) Auditor Location: Taguig Work setup &... ..., Word, PowerPoint, Outlook, SharePoint) RCM Knowledge : Prior experience with US healthcare providers or payers....
- ...MicroSourcing! Position: Insurance Verification and Authorization (IV/Auth) Specialist Location: Taguig Work... ...Specialist verifies eligibility and initiates and/or follows up on prior authorization requests with insurance companies, providers,...
- ...real connections. Our goal is to share inspiring books worldwide. We're growing in the Philippines and need someone to support our authors and handle Facebook comments with care. What You'll Do As our Author Support and Community Manager, you'll help authors by...
- ...Enforcement and Compliance division offers roles from customer support to dispatching all the way to senior management! ECD FULL AUTHORITY LATERAL OFFICER ($4000 Hiring Incentive) Job Location: PORT OF ENTRY I-10 MILE POST 383.3 SAN SIMON AZ 85632 Posting...
- ...Virtual Rockstar is hiring a full-time Insurance Verification & Authorization Specialist on behalf of our client, a well-established... ...position focused on insurance eligibility, benefit verification, prior authorizations, and insurance-related documentation to ensure...
- ...position. Virtual Rockstar is hiring an Insurance Verification & Authorization Specialist on behalf of a privately owned physical therapy... ...focuses on verifying patient insurance benefits, managing prior authorizations, and supporting the in-house billing team with...
- ...healthcare industry. Job Overview As a Medical Insurance Authorization Specialist youll navigate the complex world of US insurance... ...procedures. Responsibilities Obtain prior authorizations from various insurance companies for sleep studies...
- ...This is a remote position. Virtual Rockstar is hiring an Insurance Verification & Authorization Specialist to support a thriving outpatient physical therapy practice in Louisiana. The Insurance Verification & Authorization Specialist will play a crucial role in...
- ...seeking a highly accurate and proactive Insurance Verification & Authorization Specialist to support a growing physical therapy practice... ...and benefits across a variety of payers and plans Obtain prior authorizations and referrals as required by insurance Accurately...
- ...TRANSPORTATION Be a part of an innovative and collaborative team driving a safer transportation system for Arizona. ECD FULL AUTHORITY SERGEANT **Open to CURRENT ADOT EMPLOYEES Only** Job Location: Port of Entry I-10 Mile Post 383.5 San Simon AZ 85632...
- ...MicroSourcing! Position: Insurance Verification and Authorization (IV/Auth) Manager Location: Taguig Work setup & shift:... ...RCM Knowledge: Strong knowledge of insurance verification, prior authorization, CPT/ICD-10 codes, and payer guidelines. Software...
