Prior Authorization Consultant

🔥 13 hours ago

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Vector Outsourcing Solutions Philippines

WebsiteLinkedInAll Job Openings

51 - 200 employees

Founded 2014

🤝 B2B

🛍️ eCommerce

⚕️ Healthcare Insurance

B2B • eCommerce • Healthcare Insurance

Vector Outsourcing Solutions Philippines is a leading business process outsourcing (BPO) provider dedicated to enhancing the operational efficiency of its clients. With over 20 years of experience and a workforce of more than 300 employees, the company excels in delivering tailored outsourcing solutions, particularly to the healthcare sector, including services like medical billing and revenue cycle management. Vector Outsourcing focuses on optimizing client operations through technology and analytics, ensuring quality customer service, and reducing operational costs to foster growth for the businesses they support.

📋 Description

• Receive requests for prior authorizations using the Scheduling module of the Electronic Health Record (EHR) and/or via phone or fax • 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 • 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

🎯 Requirements

• Graduate of Bachelor's Degree (preferably in Medical, but not required) • Consultancy basis minimum of 6 months consultancy contract (subject for renewal) • 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

🏖️ Benefits

• Equipment/ company computer is provided