Patient Authorization Coordinator (CSR)

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

Benefits offered by this job

HMO with 1 free dependent

Life Insurance

20 PTO credits annually

VL and SL cash conversion

Annual merit increases

Employee recognition

Great Company Culture

Career Growth

Night shift

Onsite at SM Clark or Makati

Job summary

SuperStaff in the Philippines is seeking a Patient Authorization Coordinator for onsite roles at SM Clark or Makati. The position handles re-authorization activities with clinical teams, ensuring HIPAA compliance and accurate data entry in Brightree/QS1 systems, while coordinating with physicians and insurers.

The ideal candidate will have strong communication skills, basic office experience, and the ability to multi-task under pressure.

Qualifications

• Strong verbal and written communication skills.
• Must be able to work under pressure and manage multiple tasks.
• Knowledge of basic office operations and ability to multitask.

Responsibilities

• Enter re-authorization dates and tasks in QS1 and/or Brightree.
• Submit re-authorization requests to insurance companies; follow up timely.
• Request clinical data from physicians as needed for re-authorization.
• Document all pertinent information in case management forms and in Brightree/QS1.
• Create tasks in Brightree for future authorizations.
• Adhere to formulary guidelines and follow established protocols.
• Request interim supplies as necessary.
• Perform other related duties as required.

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!