Prior Authorization Coordinator

Job not on LinkedIn

🕒 June 25

🌐 Philippines, Kenya – Remote

🇵🇭 Philippines – Remote 🇰🇪 Kenya – Remote

💵 $6 / hour

⏰ Full Time

🟡 Mid-level

🟠 Senior

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Remote Raven

WebsiteLinkedInAll Job Openings

11 - 50 employees

💼 Consulting

📦 Logistics

📣 Marketing

Consulting • Logistics • Marketing

Remote Raven is a company that connects businesses with highly qualified virtual assistants to fill various roles across multiple industries. They focus on providing professional, college-educated, and well-trained remote workers from the Philippines who can handle diverse tasks, including customer service, bookkeeping, digital marketing, HR, healthcare, and web development among others. Remote Raven ensures that these remote workers are fluent in English and hold relevant degrees or certifications. They offer a simple and affordable recruiting process without start-up fees, aiming to help companies streamline their staffing needs with reliable remote personnel.

📋 Description

• Review patient insurance policies to determine specific prior authorization requirements based on CPT codes for all upcoming surgical procedures. • Initiate prior authorization requests through provider portals, phone communication, or fax submission. • Track and follow up on submitted authorization requests, ensuring approvals are obtained and properly attached and linked to the patient’s scheduled appointment. • Prepare and submit appeals when authorization requests are denied or require reconsideration. • Communicate with patients when necessary to explain the prior authorization process or request additional required information. • Accurately document all prior authorization activities in patient charts to ensure the care team is informed prior to the patient’s appointment. • Monitor Microsoft Teams chats for questions, clarifications, or appointment updates that may impact prior authorization status in real time.

🎯 Requirements

• This is a full time role • Strong attention to detail and organizational skills. • Effective verbal and written communication skills. • Proficiency with Microsoft Teams, Outlook, and Excel preferred. • Strong problem analysis and resolution skills. • Ability to effectively multitask while working across multiple computer-based information systems. • Capacity to work independently and remain productive in a self-directed environment.