Prior Authorization Specialist - End-to-End Medical Procedure Approvals

Are you a detail-oriented professional with a strong background in healthcare administration? CF Solutions Philippines Inc. is seeking a Prior Authorization Specialist to join our team in Canggu, Bali, Indonesia. In this role, you will be responsible for managing and processing end-to-end medical procedure approvals, ensuring compliance with insurance policies and regulations.

This is a full-time position offering a competitive salary of PHP 35000 - 37000. If you are passionate about healthcare and have the skills to excel in this critical role, we encourage you to apply.

Join us and be part of a dynamic team dedicated to providing exceptional healthcare services.

📋 Tanggung Jawab Pekerjaan

Tanggung Jawab:

• Manage and process prior authorization requests for medical procedures.
• Review and approve medical necessity documentation to ensure compliance with insurance policies.
• Collaborate with healthcare providers to gather and verify necessary information for approvals.
• Maintain accurate records and documentation of prior authorization processes.
• Stay updated with changes in insurance policies and regulatory requirements.
• Provide excellent customer service to healthcare providers and patients.
• Participate in continuous training and professional development programs.
• Assist in the development and implementation of process improvements.

🎓 Kualifikasi & Syarat

Kualifikasi:

• Bachelor's degree in Healthcare Administration, Medical Billing, or a related field.
• Minimum of 3 years of experience in prior authorization or medical billing.
• Strong knowledge of insurance policies and prior authorization processes.
• Excellent communication and interpersonal skills.
• Proficiency in English, both written and spoken.
• Familiarity with healthcare software and electronic health records (EHR) systems.
• Ability to work under pressure and meet tight deadlines.
• Strong attention to detail and organizational skills.

🛠️ Keahlian

Lowongan Terkait