Authorization Specialist (100% WFH graveyard)

Taio Connect; Metro Manila; Remote; PHP 279,000 - 469,000; Full time

Job summary

Taio Connect is seeking an Authorization Specialist to coordinate and manage the prior authorization process across multiple disciplines for a home health agency. You will submit requests to payers such as UnitedHealthcare, WellMed, Molina, and Aetna, and actively follow up to resolve any issues or denials.

You will maintain detailed records, enter final authorizations into the Access EMR, and collaborate with the clinical team to ensure timely submissions while upholding accuracy and compliance.

Qualifications

• Experience with prior authorizations, ideally in a home health or multi-disciplinary setting.
• Familiarity with authorization requirements for key payers (UnitedHealthcare, WellMed, Molina, Aetna, etc.).
• Proficiency in Access EMR and tracking spreadsheets.
• Exceptional attention to detail and ability to manage high-volume workloads.

Responsibilities

• Authorization Submission: Prepare and submit authorization requests for all disciplines (PT, OT, SN, HHA, MSW, ST) to various payers.
• Communicate and proactively follow up with payers on status and resolve issues or denials.
• Documentation & Tracking: detail status in agency spreadsheet; enter final authorizations into the Access EMR; maintain records.
• Work closely with the clinical team to ensure timely submission of authorization requests

Skills

Prior authorization experience

Payer coordination

English communication

High-volume coordination

Attention to detail

Tools

Access EMR

Spreadsheets (Excel/Sheets)

Job description

Overview

The Authorization Specialist is a vital support member for our home health agency, responsible for coordinating and managing all aspects of the prior authorization process across various disciplines. This role is essential for securing timely approvals for patient care, ensuring compliance with insurance requirements, maintaining accurate internal records, and minimizing service delays across the entire clinical team

Responsibilities and Duties

• Authorization Submission: Prepare and submit authorization requests for all disciplines (PT, OT, SN, HHA, MSW, ST) to various payers, including UnitedHealthcare, WellMed, Molina, Merit Group, Aetna, and SIDNA.

• Communicate and proactively follow up with payers on authorization status and promptly resolve issues or denials.

• Documentation & Tracking:

  • Utilize the agency spreadsheet to detail the status of all requests (requested/received).

  • Enter final authorizations into the Access EMR system immediately.

  • Maintain detailed records of all authorization requests and approvals.

• Work closely with the clinical team to ensure timely submission of authorization requests

Qualifications

• Experience with prior authorizations, ideally in a home health or multi-disciplinary setting.

• Familiarity with authorization requirements for key payers (UnitedHealthcare, WellMed, Molina,

• Aetna, etc.).

• Proficiency in Access EMR

• Skilled in using tracking spreadsheets

• Exceptional attention to detail, strong organizational skills, and excellent communication abilities to manage high-volume demands.

• Excellent verbal and written English communication skills

Remote Work Requirements

• Laptop or desktop computer minimum specs Core i5 / M1 or better

  • 16 GB RAM

  • 256 SSD Storage

• Main Internet - minimum 50 mbps speed upload and download

• Backup Internet - minimum 50 mbps speed upload and download