Insurance Authorization Specialist

Multiply Mii

Philippines

On-site

PHP 360,000 - 480,000

Full time

14 days+
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Benefits offered by this job

100% Remote Work
13th Month Pay
Healthcare (HMO)
Comprehensive Fringe Benefits package
Paid Service Incentive Leave (SIL)
Paid Philippines Holidays
Free Learning and Development Programs

Job summary

Multiply Mii seeks an Insurance Authorization Specialist to streamline insurance authorization workflows for patient referrals and surgical procedures. You will replace delays with precise coordination to ensure timely access to care in a 100% remote setting.

Ideal candidates have 1–3 years in healthcare, insurance, or admin roles, with strong attention to detail and proficiency in insurance portals. This role supports ongoing operations and collaboration with the insurance team for data

Qualifications

  • 1-3 years of experience in healthcare, insurance, or administrative roles.
  • Strong attention to detail and organizational skills.
  • Ability to manage high-volume daily tasks independently and efficiently.
  • Basic understanding of medical insurance, authorizations, and referral processes.
  • Excellent written and verbal communication skills.
  • Proficiency navigating insurance portal systems.

Responsibilities

  • Process 60-80 insurance authorizations daily from insurance portals for patient referrals.
  • Verify and confirm authorization status and availability for specific patient appointments with healthcare providers.
  • Complete and submit authorization request forms for various insurance carriers.
  • Perform data entry and administrative tasks related to insurance authorization and referral management.
  • Identify and flag authorization discrepancies to ensure accuracy for patient appointments and surgery-related referrals.
  • Collaborate with the insurance team to maintain data integrity, accuracy, and compliance.
  • Communicate regularly with team members regarding authorization status and documentation requirements.

Skills

Attention to detail
Verbal and written communication
Insurance portal navigation
High-volume task management
Medical insurance knowledge

Tools

ModMed EHR

Job description

Position Type: Full Time

Location: Philippines (Remote)

Schedule: Monday to Friday, 8am - 5pm CST

About the Company

Our client is a leading ophthalmology clinic based in Texas with 17 locations and over 50 doctors. They are committed to employee fulfillment and career growth, guided by their core values: integrity, respect, empathy, accountability, compassion, and honesty.

About the Role

As the Insurance Authorization Specialist, you'll provide high-quality approval management and referral support to ensure absolute accuracy. Your mission is to streamline insurance authorization workflows for patient appointments and surgical procedures, replacing administrative delays with swift, precise coordination to ensure timely care delivery. This role is crucial for maintaining operational integrity and ensuring patients receive the seamless, hassle-free access to care they deserve.

Responsibilities
  • Process 60-80 insurance authorizations daily from insurance portals for patient referrals
  • Verify and confirm authorization status and availability for specific patient appointments with healthcare providers
  • Complete and submit authorization request forms for various insurance carriers
  • Perform data entry and administrative tasks related to insurance authorization and referral management
  • Identify and flag authorization discrepancies to ensure accuracy for patient appointments and surgery-related referrals
  • Collaborate with the insurance team to maintain data integrity, accuracy, and compliance
  • Communicate regularly with team members regarding authorization status and documentation requirements
Competencies and Qualifications
Must-Have
  • 1-3 years of relevant experience in healthcare, insurance, or administrative roles
  • Strong attention to detail and organizational skills
  • Ability to manage high-volume daily tasks independently and efficiently
  • Basic understanding of medical insurance, authorizations, and referral processes
  • Excellent written and verbal communication skills
  • Proficiency navigating insurance portal systems
Nice-to-Have
  • Experience with ModMed electronic health record (EHR) software
  • Prior experience with insurance authorization, referral management, or healthcare administration
  • Knowledge of medical insurance terminology, coverage policies, and referral procedures
  • Experience with healthcare data entry systems
What We Offer
  • 100% Remote Work
  • 13th Month Pay
  • Healthcare (HMO)
  • Comprehensive Fringe Benefits package
  • Paid Service Incentive Leave (SIL)
  • Paid Philippines Holidays
  • Free Learning and Development Programs
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