Job description
Join a leading healthcare support team in Pasay City as a Prior Authorization Specialist – Healthcare Customer Service Representative!
Are you passionate about making a difference in patient lives while building a stable career in the healthcare industry? As a Prior Authorization Specialist, you will play a vital role in ensuring patients can promptly access the care and treatments they need. Work in a dynamic environment where your expertise is valued and your professional growth is encouraged. Be a part of a collaborative team that is committed to excellence and service, and enjoy a competitive compensation package, health benefits, and clear career advancement opportunities.
If you are detail-oriented, customer-focused, and ready to provide top-notch service in a high-growth field, this is your chance to thrive and make a real impact!
Responsibility
- Review and process prior authorization requests for medical treatments, prescriptions, and procedures in a timely and accurate manner.
- Collaborate with healthcare providers, insurance companies, and patient representatives to obtain necessary documentation and ensure compliance with authorization requirements.
- Communicate authorization decisions and required information to patients and healthcare professionals.
- Accurately enter, update, and maintain patient and authorization information in secure databases.
- Monitor and follow up on pending authorizations, proactively resolving any issues or discrepancies.
- Respond to inquiries from patients, providers, and insurance parties with professionalism and empathy.
- Adhere to company policies, industry regulations, and confidentiality standards while handling sensitive patient information.
- Continuously seek ways to improve efficiency and customer satisfaction within the prior authorization process.
Qualification
- At least 1-2 years of experience in healthcare customer service or prior authorization processing preferred.
- Strong understanding of healthcare insurance processes and terminology is an advantage.
- Excellent verbal and written communication skills in English.
- Exceptional attention to detail and organizational skills.
- Strong analytical and problem-solving abilities.
- Proficient computer skills with experience in CRM or medical record systems a plus.
- Ability to multitask and manage time effectively in a fast-paced setting.
- Demonstrated ability to handle sensitive information with discretion and maintain confidentiality.