Prior Authorization Coordinator

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

📋 Description

• Review patient insurance policies to identify specific prior authorization requirements based on CPT codes for all upcoming surgical procedures.

• Initiate prior authorization requests via provider portals, telephone communication, or fax submissions.

• Monitor and follow up on submitted authorization requests, ensuring that approvals are secured and appropriately linked to the patient’s scheduled appointment.

• Prepare and submit appeals for authorization requests that have been denied or require reconsideration.

• Communicate with patients as needed to clarify the prior authorization process or to request additional information.

• Accurately record all prior authorization activities in patient charts to keep the care team informed before the patient’s appointment.

• Monitor Microsoft Teams chats for inquiries, clarifications, or updates regarding appointments that may affect prior authorization status in real time.

⛳️ Requirements

• This is a full-time position.

• Strong attention to detail and excellent organizational skills.

• Effective verbal and written communication abilities.

• Proficiency in Microsoft Teams, Outlook, and Excel is preferred.

• Strong skills in problem analysis and resolution.

• Ability to efficiently multitask while navigating multiple computer-based information systems.

• Capacity to work independently and maintain productivity in a self-directed environment.

🏝️ Benefits

• Competitive salary and benefits package.

• Opportunities for professional development and growth.

• Supportive work environment focused on team collaboration.