Prior Authorization Consultant
Vector Outsourcing Solutions Phils., Inc.
- Mandaluyong, Philippines8th Floor Unit 804, 530, Shaw Blvd, Wack-Wack Greenhills, Mandaluyong, Metro Manila, PhilippinesMandaluyongMetro ManilaPhilippinesPhilippinesTELECOMMUTE
- ₱30,000.00 - ₱35,000.00 / monthPHP300003500030000MONTH
- ContractualCONTRACTOR
2025-06-20T01:10:38.472312+00:00
Job closed.
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)
- 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
Perks and Benefits
Work from Home
Other
- Company equipment/ computer is provided
Jobs Summary
- Job Level
- Entry Level / Junior, Apprentice
- Job Category
- Health and Medical
- Educational Requirement
- Bachelor's degree graduate
- Recruiter response to application
- Sometimes
- Office Address
- 530, Shaw Blvd, Wack-Wack Greenhills
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About Vector Outsourcing Solutions Phils., Inc.
We are fast growing US based healthcare BPO supporting medical groups, dental groups, diagnostic laboratories, urgent care centers and other ancillary health care providers. Join us now and become one of our leaders as we continue to grow.
Vision:
To improve healthcare delivery by placing the needs of both providers and patients at the forefront and delivering exceptional customer service
Mission:
To provide world class customer service, that drives efficiency and progress within the healthcare system, by working together in a culture of continuous improvement and innovation
Values:
Transparency
Honesty
Accountability
Trust
Responsibility
Efficiency
Adaptability
Innovation
Respect