Healthcare PA Team Lead: Prior Authorization and Compliance

Private Advertiser; Pasay; On-site; PHP 391,000 - 781,000; Full time

Job summary

Private Advertiser in Pasay, Philippines, seeks an experienced Healthcare BPO Team Lead with prior authorization experience to lead a team handling prior authorization tasks. You will monitor performance, ensure accuracy and HIPAA compliance, collaborate with healthcare providers and insurers, troubleshoot escalations, and drive continuous process improvements.

This onsite role offers mentoring opportunities, regular progress reporting to senior management, and potential for professional growth

Qualifications

• At least 1 year as a Team Leader.
• At least 2 years in Healthcare BPO, preferably Prior Authorization.
• Strong knowledge of healthcare terminologies and RCM.
• Strong knowledge of prior authorization processes, including insurance protocols, medical coding and billing.
• Experience working with healthcare providers, insurers, and TPAs.
• Amenable to report onsite at Pasay.

Responsibilities

• Lead, mentor, and motivate a team of BPO associates on prior authorization tasks.
• Monitor performance for accuracy, compliance, and productivity.
• Oversee day-to-day prior authorization requests and approvals.
• Collaborate with providers and insurers to ensure smooth processing of requests.
• Identify opportunities for process improvements and implement best practices for efficiency.
• Maintain records and present performance reports to senior management.

Skills

Team Leadership

Prior Authorization

HIPAA Compliance

Regulatory knowledge

Job description

Private Advertiser in Pasay, Philippines, seeks an experienced Healthcare BPO Team Lead with prior authorization experience to lead a team handling prior authorization tasks. You will monitor performance, ensure accuracy and HIPAA compliance, collaborate with healthcare providers and insurers, troubleshoot escalations, and drive continuous process improvements.

This onsite role offers mentoring opportunities, regular progress reporting to senior management, and potential for professional growth