Prior Authorization Assistant – Healthcare

This is a fully remote position, open to applicants in Philippines.

📋 Description

• Complete training and achieve proficiency in the timely and accurate submission, follow-up, and approval of authorization requests.

• Pursue knowledge through curiosity and self-directed learning in payer portals.

• Oversee authorization requests to ensure they are handled within a 24-hour turnaround time.

• Execute authorization requests with accuracy and efficiency.

• Guarantee compliance with client preferences and payer regulations.

• Prepare and submit authorizations that lead to successful approvals.

• Address all inquiries within the established 24-hour turnaround time.

• Stay accessible to accounts and team members during standard work hours.

• Keep precise records and promptly update client systems with authorization information.

• Monitor and follow up on unapproved authorizations.

• Recognize and manage expiring authorizations to avert interruptions in care.

• Support special projects, problem-solving initiatives, and process enhancements.

• Escalate any requests that cannot be authorized or resolved to Auth Rep II.

• Engage in weekly meetings with Account teams and Coordinators.

• Complete necessary reports.

• Create and maintain Rocks in collaboration with the Account Coordinator.

• Adhere to team processes consistently.

⛳️ Requirements

• Associate's degree (2-year college degree) is required.

• Minimum 2 years of experience in a US-based medical billing practice or 2 years in a medical practice involving billing, including provider credentialing, authorizations, and reimbursement, preferably with some experience in Behavioral Health.

• Must possess a backup power supply (extra laptop/power bank/generator/UPS).

• Detail-oriented with above-average organizational skills.

• Capable of planning and prioritizing tasks to meet deadlines.

• Exceptional verbal and written communication skills.

• Communicates clearly and effectively.

• Strong reading comprehension abilities.

• Proficient computer skills, including familiarity with Microsoft applications such as Excel and Word.

• Comprehensive understanding of navigating the internet.

• Candidates must have their own computer and internet connection.

• Responsible for managing their own benefits and taxes as an Independent Contractor.

🏝️ Benefits

• Permanent remote work opportunity.

• Advantages of being an Independent Contractor.

• Immediate hiring process.

• Professional fees paid on an hourly basis, with rates determined by performance during the application process.

• Candidates are required to provide their own computer and internet connection.

• Candidates are responsible for their own benefits and taxes.

• Must have a backup power supply (extra laptop/power bank/generator/UPS).