Dynamic Healthcare Prior Authorization Coordinator

Imagenet, LLC; Manila; Hybrid; PHP 240,000 - 360,000; Full time

Benefits offered by this job

Comprehensive HMO Coverage- Medical &

HMO coverage on Day 1 plus 1 dependent

Job summary

Imagenet, LLC is hiring a Healthcare Prior Authorization Coordinator to support the Utilization Management team. This non-clinical role handles intake, documentation, and coordination of authorization, referrals, and utilization reviews.

You will work with providers, members, and internal staff to ensure timely processing while adhering to client policies and HIPAA requirements. Flexibility exists to transition to remote after training and ramp-up.

Qualifications

• 1–3 years of healthcare administration experience preferred.
• Experience in utilization management or prior authorization is desired.
• Knowledge of medical terminology and healthcare workflows.

Responsibilities

• Receive, review, and process prior authorization and referral requests.
• Verify information, identify missing docs, and route to clinical reviewers.
• Monitor fax queues and index documentation into PM systems.
• Maintain authorization records and ensure HIPAA compliance.
• Coordinate with providers, members, and internal teams to resolve issues.
• Escalate urgent or complex cases per procedures.
• Support data validation and documentation accuracy.

Skills

Utilization Management

Prior Authorization

Referral Management

Fax Intake

Medical Records

Provider Services

Managed Care

Medicare Advantage

Medicaid

Commercial Health Plans

Quality Assurance

Root Cause Analysis

Education

High School Diploma or equivalent

Tools

Microsoft Office

Job description

Imagenet, LLC is hiring a Healthcare Prior Authorization Coordinator to support the Utilization Management team. This non-clinical role handles intake, documentation, and coordination of authorization, referrals, and utilization reviews.

You will work with providers, members, and internal staff to ensure timely processing while adhering to client policies and HIPAA requirements. Flexibility exists to transition to remote after training and ramp-up.