Onsite Night-Shift Prior Authorization Specialist

MicroSourcing International; Quezon City; On-site; PHP 502,000 - 725,000; Full time

Benefits offered by this job

Healthcare coverage from day 1

Paid time off with cash conversion

Group life insurance

Performance bonuses

Competitive rewards

Job summary

MicroSourcing, a leading outsourcing partner in the Philippines, seeks a Prior Authorization Specialist to process requests for US payer approvals onsite in Eastwood, Quezon City, night shift.

You will verify eligibility, review records, coordinate with providers and insurers, ensure HIPAA compliance, and meet productivity targets. Join a diverse team with competitive rewards and growth opportunities.

Qualifications

• Minimum of 5+ years of experience in Prior Authorization, UM, or RCM.
• Knowledge of US healthcare insurance processes and payer requirements.
• Familiarity with CPT, ICD-10, HCPCS codes.
• Experience using EHR and practice management systems; insurance portals is an advantage.
• Strong written and spoken English.

Responsibilities

• Process and submit prior authorization requests to US health insurance providers.
• Verify patient eligibility, insurance coverage, and authorization requirements.
• Review medical records and supporting documentation for completeness.
• Follow up on pending, approved, and denied requests.
• Coordinate with physicians, offices, and insurers regarding status and requirements.
• Identify missing documentation and complete requirements.
• Maintain accurate records and update statuses in systems.
• Ensure HIPAA compliance and data privacy.
• Meet productivity, quality, and turnaround time targets.

Skills

Prior Authorization

Healthcare RCM

US healthcare processes

HIPAA compliance

Attention to detail

English communication

Independent work

Multitasking

Tools

EHR systems

Practice management systems

Insurance portals

Job description

MicroSourcing, a leading outsourcing partner in the Philippines, seeks a Prior Authorization Specialist to process requests for US payer approvals onsite in Eastwood, Quezon City, night shift.

You will verify eligibility, review records, coordinate with providers and insurers, ensure HIPAA compliance, and meet productivity targets. Join a diverse team with competitive rewards and growth opportunities.