Patient Access Lead: Prior Authorization & Team Growth

Create Synergies Inc.; Philippines; On-site; PHP 893,000 - 1,339,000; Full time

Benefits offered by this job

Onsite work in Bridgetown, Quezon City

Mid-shift schedule

Job summary

Confidential Hiring in Bridgetown, Quezon City is seeking a Patient Access Lead/Supervisor to oversee daily operations of the Account Specialist team under Patient Access – Benefits & Authorization. The role focuses on ensuring accurate verifications, authorizations, and benefit interpretations within a mid-shift, onsite setting.

You will supervise performance, coach staff, and collaborate with multiple departments to optimize workflows and patient financial responsibility processes.

Qualifications

• High School Diploma or equivalent required; Associate's or Bachelor's degree preferred in Healthcare Administration or related field.
• 3–5 years experience in Patient Access, Insurance Verification, Benefits, Referrals, Authorizations, Revenue Cycle in healthcare settings.
• ≥1 year in a lead/supervisory/training/quality review role preferred.
• Strong knowledge of insurance verification, benefit interpretation, prior authorization, and payer requirements.
• Familiarity with CPT, ICD-10, clinical terminology, and payer medical necessity guidelines.
• Proficiency with EHR systems, eligibility tools, pre-certification platforms, payer portals, Microsoft Office, and reporting tools.
• Excellent leadership, communication, organizational, analytical, problem-solving, coaching, and conflict-resolution skills.
• Ability to manage workloads, analyze trends, identify root causes, and implement workflow improvements.
• Orthopedic experience strongly preferred.

Responsibilities

• Supervise daily operations in insurance verification, benefits review, and authorization support.
• Monitor team productivity, quality, turnaround times, and service levels.
• Serve as SME on payer requirements, eligibility, referrals, authorizations, and network participation.
• Review team documentation for accuracy and compliance with standards.
• Provide coaching, training, feedback, and performance development to team members.
• Handle escalated inquiries from patients, providers, payers, and internal teams.
• Collaborate with Front Office, Clinical, Revenue Cycle, and leadership to resolve issues and improve workflows.
• Support staffing coordination, workload balancing, and quality assurance initiatives.
• Prepare and communicate operational and performance reports to leadership.
• Ensure compliance with policies, privacy standards, and regulations.

Skills

Leadership

Communication

Organization

Analytical thinking

Problem-solving

Coaching

Conflict resolution

Workload management

Education

High School Diploma

Associate's degree in Healthcare Administration or related

Bachelor's degree in Healthcare Administration or related

Tools

EHR systems

Eligibility tools

Pre-certification platforms

Payer portals

Microsoft Office

Reporting tools

Job description

Confidential Hiring in Bridgetown, Quezon City is seeking a Patient Access Lead/Supervisor to oversee daily operations of the Account Specialist team under Patient Access – Benefits & Authorization. The role focuses on ensuring accurate verifications, authorizations, and benefit interpretations within a mid-shift, onsite setting.

You will supervise performance, coach staff, and collaborate with multiple departments to optimize workflows and patient financial responsibility processes.