Prior Authorization Coordinator | Onsite | Makati | Night Shift | Weekends Off

Emapta; Philippines; On-site; PHP 360,000 - 480,000; Full time

Benefits offered by this job

Competitive salary package

Night differential pay

Fixed weekends off

HMO coverage with free dependent upon…

Prime office location in Makati

Salary advance program

Upskilling through Emapta Academy

Gym access with trainer

Lifestyle perks

Employee referral incentives

Government and Emapta benefits

20 annual leaves

Mentorship and exposure to globalLead

Job summary

Emapta Philippines is seeking a Prior Authorization Coordinator for our US healthcare network. This onsite role in Makati offers night shift with weekends off, and supports clinical teams by handling complex authorization workflows and documentation.

You will work with Epic EMR, CoverMyMeds, and NaviNet, ensuring timely approvals and strong patient outcomes. Competitive benefits and career growth opportunities are provided.

Qualifications

• 1-3 years of experience as a Prior Authorization Coordinator or in a similar healthcare role.
• Proficiency in Epic EMR, with experience using CoverMyMeds and/or NaviNet considered an advantage.
• Strong knowledge of medical insurance plans, prior authorization requirements, and approval workflows.
• Excellent written and verbal English communication skills.
• Strong customer service skills with a friendly and professional demeanor.
• Typing speed of at least 55 words per minute.
• Ability to manage multiple authorization requests, deadlines, and competing priorities simultaneously.

Responsibilities

• Submit and manage prior authorization requests for medications, procedures, imaging, and specialty services.
• Communicate with insurance companies, healthcare providers, pharmacies, and patients regarding authorization statuses.
• Process authorization requests through online platforms such as CoverMyMeds and NaviNet, when applicable.
• Gather, verify, and submit the clinical documentation required to secure authorization approvals.
• Track pending authorizations and conduct timely follow-ups to ensure prompt processing.
• Document all authorization activities accurately in the electronic medical record (EMR).
• Respond professionally and courteously to patient inquiries regarding authorization requests.
• Coordinate with clinical teams to ensure complete documentation and efficient approval workflows.

Job description

Drive Patient Care Forward with a Leading U.S. Healthcare Network

Behind every timely treatment is a professional who turns complex requirements into decisive action. The Prior Authorization Coordinator advances patient access, protects care continuity, and helps clinical teams operate efficiently across a growing healthcare network. Emapta offers top 1% talent a top 1% experience through global exposure, stability, work-life balance, purposeful growth, and a long-term career with meaningful progression worldwide.

Snapshot

• Employment Type: Full-time
• Work Setup: Onsite, Makati
• Shift: Night Shift, Weekends Off

Benefits

• Competitive Salary Package
• Night differential pay to maximize your earnings
• Fixed weekends off
• HMO coverage with free dependent upon regularization
• Prime office location in Makati (Easy access to MRT stations, restaurants, and banks)
• Salary Advance Program through our banking partner (Eligibility and approval subject to bank assessment. Available to account holders with minimum of 6 months company tenure.)
• Unlimited upskilling through Emapta Academy courses (Want to know more? Visit: https://emapta.com/training-calendar/)
• Free 24/7 access to our office gyms (Ortigas and Makati) with a free physical fitness trainer!
• Exclusive Emapta Lifestyle perks (hotel and restaurant discounts, and more!)
• Unlimited opportunities for employee referral incentives across the organization
• Standard government and Emapta benefits
• Total of 20 annual leaves to be used on your own discretion (including 5 credits convertible to cash)
• Fun engagement activities for employees
• Mentorship and exposure to global leaders and teams
• Career growth opportunities
• Diverse and supportive work environment

Qualifications

• 1-3 years of experience as a Prior Authorization Coordinator or in a similar healthcare role
• Proficiency in Epic EMR, with experience using CoverMyMeds and/or NaviNet considered an advantage
• Strong knowledge of medical insurance plans, prior authorization requirements, and approval workflows
• Excellent written and verbal English communication skills
• Strong customer service skills with a friendly and professional demeanor
• Typing speed of at least 55 words per minute
• Strong attention to detail, organization, and accuracy
• Ability to manage multiple authorization requests, deadlines, and competing priorities simultaneously

What We’re Looking For

• Clear and professional communication with patients, healthcare providers, pharmacies, and insurance companies
• Strong organizational skills for managing multiple authorization requests efficiently
• Dependability, teamwork, and commitment to securing timely approvals and supporting positive patient outcomes

Responsibilities

• Submit and manage prior authorization requests for medications, procedures, imaging, and specialty services.
• Communicate with insurance companies, healthcare providers, pharmacies, and patients regarding authorization statuses.
• Process authorization requests through online platforms such as CoverMyMeds and NaviNet, when applicable.
• Gather, verify, and submit the clinical documentation required to secure authorization approvals.
• Track pending authorizations and conduct timely follow-ups to ensure prompt processing.
• Document all authorization activities accurately in the electronic medical record (EMR).
• Respond professionally and courteously to patient inquiries regarding authorization requests.
• Coordinate with clinical teams to ensure complete documentation and efficient approval workflows.

About the Client

Our client is a leading Southern California healthcare organization that has transformed access to patient-centered care since 2005. From a trusted primary care practice, it has expanded into a multidisciplinary network serving communities across San Diego and Orange County through in-person and virtual care. Its accomplished providers deliver primary, urgent, preventive, mental health, pediatric, dermatology, cardiology, and specialty services. Recognized for clinical excellence, convenience, and continuous innovation, the organization makes comprehensive healthcare accessible while advancing patient experiences and lasting wellness.

Join the Top 1% Talent. A better career. A better life.

Welcome to Emapta Philippines: home to professionals who choose growth, balance, and impact. Recognized as one of HR Asia's Best Companies to Work For in Asia 2025 and winner of Inspiring Workplaces Australasia 2026, Emapta offers more than opportunities -- it provides a career environment where people thrive. Collaborate with global teams, build meaningful expertise, and grow in a culture that prioritizes both performance and well-being.