Prior Authorization and Eligibility Checker Specialist | Work From Home

Salary: 30,000-50,000 PHP/month

Job Description

• Receive requests for prior authorizations using the Scheduling Module of the ElectronicHealth 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.
• Follow team and/or client's proper procedures, policies, and methodologies as instructed.
• Performs other relate...