Athenahealth Authorization & Referral Specialist - Cebu

The Philippine Operations Center Global Solutions Inc.; Central Visayas; On-site; PHP 240,000 - 420,000; Full time

Job summary

The Philippine Operations Center Global Solutions Inc. in Cebu City is seeking an Authorization & Referral Coordinator with hands-on Athenahealth experience to support referrals and prior authorizations for our healthcare account.

Responsibilities include verifying patient insurance, managing referrals, and coordinating with providers and payers to ensure timely authorizations while maintaining accurate records in the EHR/EMR. This is a 100% onsite role in Cebu City.

Qualifications

• Minimum high school diploma required.
• At least 1 year of experience in referral coordination or healthcare administration.
• Hands-on experience using Athenahealth is required.
• Experience in medical records management is an advantage.
• Knowledge of U.S. healthcare insurance processes.

Responsibilities

• Review daily clinic and surgical schedules to identify referral requirements.
• Process patient referrals to specialists and facilities.
• Secure insurance authorizations for visits, diagnostics, procedures, and ASC services.
• Coordinate pre-surgical authorizations per payer requirements.
• Monitor pending referrals and authorization requests with timely follow-ups.
• Verify patient insurance eligibility and document in the EHR/EMR.
• Maintain compliance with regulations and confidentiality.

Skills

Athenahealth experience

US healthcare processes

Organization & attention to detail

Strong communication

Multitasking

Education

High school diploma or equivalent

Tools

Athenahealth (Athena)

Job description

The Philippine Operations Center Global Solutions Inc. in Cebu City is seeking an Authorization & Referral Coordinator with hands-on Athenahealth experience to support referrals and prior authorizations for our healthcare account.

Responsibilities include verifying patient insurance, managing referrals, and coordinating with providers and payers to ensure timely authorizations while maintaining accurate records in the EHR/EMR. This is a 100% onsite role in Cebu City.