Patient Authorization Coordinator CSR

SuperStaff Outsourcing; Makati; On-site; PHP 330,000 - 395,000; Full time

Benefits offered by this job

HMO with dependent

Life Insurance

PTO Credits

Merit Increases

Great Culture

Career Growth

Night Shift

Onsite Makati/Clark

Job summary

SuperStaff Outsourcing is seeking a Patient Authorization Coordinator for our corporate office in Makati. The role interfaces with clinical sales specialists, physicians, nurses, case managers, and patients, ensuring verified eligibility for existing patients under supervision.

The position requires strong communication, HIPAA compliance, and the ability to manage multiple tasks with accuracy, including re-authorization in Brightree/QS1 and timely insurer follow-ups. Night shift onsite.

Qualifications

• High school graduate or equivalent required.
• One year of similar experience preferred.
• Must be able to work under pressure and multitask.

Responsibilities

• Verify and document patient authorization re-authorization tasks.
• Enter dates into Brightree/QS1 and generate monthly tickler reports.
• Request clinical data from physicians as needed.
• Submit re-authorization requests to insurance companies.
• Follow up timely on re-authorization requests.
• Document information in authorization forms and systems.
• Create future authorization tasks in Brightree.
• Adhere to formulary guidelines and internal protocols.
• Request interim supplies as appropriate.
• Perform related duties as required.

Skills

Verbal communication

Written communication

HIPAA compliance

Education

High School diploma or equivalent

Tools

Brightree

QS1

Job description

Job Description:

The Patient Authorization Coordinator is the employee that interacts and works closely with many others employees. This person also interacts with the clinical sales specialists, physicians, nurses, office staff, case managers for all manufacturers, and the patient / patient family. This position is at the corporate office. The Patient Authorization Coordinator provides continual verification and eligibility for all existing patients, under the direction of the DME Operations Supervisor. The DME Re-Authorization Coordinator contributes greatly to the overall satisfaction of our customers, vendors, and business associates.

• Re-authorization dates and tasks are entered into QS1 and/or Brightree system by the DME Case Management Billing Coordinator which allows for a monthly tickler report for the reauthorization process.
• Requests clinical data from the patient’s Endocrinologist or other physician’s office as necessary for the re-authorization process.
• Submits request for re-authorization to the insurance company.
• Timely follow-up on requests for re-authorization dates.
• Documents all pertinent information on the case management authorization form and in Brightree and the QS1 system.
• Creates tasks in Brightree for future authorizations.
• Adheres to formulary guidelines and follows protocol in place.
• Requests interim supplies as necessary and appropriate.

• Performs other related duties as required and assigned.

• Strong verbal and written communication skills are required.
• One year of experience, in a similar position, preferred.
• Must be knowledgeable in basic office operations and be able to perform multiple tasks simultaneously.
• Must be able to work under pressure, delineate priorities when the workload is abundant.
• Must be able to represent the company in a professional manner.
• Must maintain HIPAA (Health Insurance Portability and Accountability Act) compliance in accordance with the provisions outlined in the company’s Employee Manual and HIPAA manual and understand their obligations under the Privacy Rule.

• Able to perform the essential duties of this position without posing a “direct threat” to the health or safety of self or others.
• High School graduate, or equivalent.

• HMO with 1 free dependent upon hire
• Life Insurance
• 20 PTO credits annually
• VL and SL cash conversion
• Annual Performance-Based Merit Increases and Employee Recognition
• Great Company Culture
• Career Growth and Learnings
• NIGHT SHIFT
• ONSITE (SM Clark or Makati)
• Earn 32,500 Php!

Requirements: