Prior Authorization Consultant | Work From Home | POOLING

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 Originally posted on Himalayas