Insurance Authorization Specialist

Position Type: Full Time

Location: Philippines (Remote)

Schedule: Monday to Friday, 8am - 5pm CST

About the Company

Our client is a leading ophthalmology clinic based in Texas with 17 locations and over 50 doctors. They are committed to employee fulfillment and career growth, guided by their core values: integrity, respect, empathy, accountability, compassion, and honesty.

About the Role

As the Insurance Authorization Specialist, you'll provide high-quality approval management and referral support to ensure absolute accuracy. Your mission is to streamline insurance authorization workflows for patient appointments and surgical procedures, replacing administrative delays with swift, precise coordination to ensure timely care delivery. This role is crucial for maintaining operational integrity and ensuring patients receive the seamless, hassle-free access to care they deserve.

Responsibilities

• Process 60-80 insurance authorizations daily from insurance portals for patient referrals

• Verify and confirm authorization status and availability for specific patient appointments with healthcare providers

• Complete and submit authorization request forms for various insurance carriers

• Perform data entry and administrative tasks related to insurance authorization and referral management

• Identify and flag authorization discrepancies to ensure accuracy for patient appointments and surgery-related referrals

• Collaborate with the insurance team to maintain data integrity, accuracy, and compliance

• Communicate regularly with team members regarding authorization status and documentation requirements

Competencies and Qualifications

Must-Have

• 1-3 years of relevant experience in healthcare, insurance, or administrative roles

• Strong attention to detail and organizational skills

• Ability to manage high-volume daily tasks independently and efficiently

• Basic understanding of medical insurance, authorizations, and referral processes

• Excellent written and verbal communication skills

• Proficiency navigating insurance portal systems

Nice-to-Have

• Experience with ModMed electronic health record (EHR) software

• Prior experience with insurance authorization, referral management, or healthcare administration

• Knowledge of medical insurance terminology, coverage policies, and referral procedures

• Experience with healthcare data entry systems

What We Offer

• 100% Remote Work

• 13th Month Pay

• Healthcare (HMO)

• Comprehensive Fringe Benefits package

• Paid Service Incentive Leave (SIL)

• Paid Philippines Holidays

• Free Learning and Development Programs

Application Process

We understand that searching for a new job can be challenging, and we’re here to support you every step of the way. Our goal is to make the process as transparent and respectful as possible.

Typically, the interview process includes a Recruiter Interview, Client Interview, and Practical Test, but this may vary depending on the role. Throughout each stage, we’ll keep you informed and provide feedback as quickly as we can, ensuring you feel valued and supported throughout your journey with us.