Prior Authorization Specialist
HR TechX Corp.
Date: 6 hours ago
City: Pasig City
Contract type: Full time
Qualifications:
- Bachelor's degree in any allied medical course
- At least 6 months of experience in prior authorization
- Strong communication skills, both verbal and written
- Willing to work onsite
- Contacting insurance companies to request prior authorization for specific medical procedures or prescriptions.
- Verifying Information: Checking patient eligibility, benefits, and coverage with insurance companies.
- Documenting Interactions: Keeping detailed records of all communications with insurance companies and patients.
- Managing Denials: Investigating denials, resubmitting requests, and potentially appealing decisions to ensure patient access to necessary care.
- Communicating with Patients: Explaining the prior authorization process to patients, including potential delays and financial implications.
- Collaborating with Providers: Working closely with healthcare providers to collect necessary clinical information for authorization requests.
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