Clinical Admin & Prior Authorization Specialist

Tata Consultancy Services; Taguig; On-site; PHP 550,000 - 750,000; Full time

Job summary

Tata Consultancy Services in Taguig, Philippines seeks licensed nurses for behavioral health prioritization roles, focusing on psychiatric medication prior authorizations and care coordination. The role emphasizes accurate documentation, patient interactions, and timely processing in a fast-paced setting.

The candidate will gather and verify clinical data, liaise with providers and payers, and maintain case records while meeting strict turnaround times and compliance standards.

Qualifications

• Active Philippine RN license
• At least 2 years in Business/Clinical Process Outsourcing
• Experience with prior authorizations for behavioral/mental health
• Strong attention to detail and data accuracy
• Excellent communication and patient interaction skills

Responsibilities

• Gather clinical and insurance documentation required for prior auth submissions
• Verify patient eligibility and benefits via payer websites or calls
• Input data into forms and maintain case records in client systems
• Track request status and communicate updates to nursing and provider teams
• Handle outbound and inbound calls

Job description

Tata Consultancy Services in Taguig, Philippines seeks licensed nurses for behavioral health prioritization roles, focusing on psychiatric medication prior authorizations and care coordination. The role emphasizes accurate documentation, patient interactions, and timely processing in a fast-paced setting.

The candidate will gather and verify clinical data, liaise with providers and payers, and maintain case records while meeting strict turnaround times and compliance standards.