Prior Authorization Consultant | Work from Home
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AI Summary
Process prior authorization requests via EHR, phone, or fax and submit medical records to insurance carriers. Manage correspondence between insurance companies, physicians, and patients to ensure timely approvals.
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
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