Prior Authorization Nurse Specialist

Hammerjack Pty Ltd; Taguig; On-site; PHP 446,000 - 670,000; Full time

Job summary

Hammerjack Pty Ltd in the Philippines is seeking an Prior Authorization Admin Support RN to coordinate and submit prior authorization requests end-to-end. You will gather patient data, verify coverage, and enter information into payer portals while ensuring proper documentation accompanies each request.

The role emphasizes accurate data entry, familiarity with payer portals, and strong attention to detail in a fast-paced, client-focused environment.

Qualifications

• RN license in good standing.
• Prior authorization experience is preferred.
• Strong data-entry and documentation skills.

Responsibilities

• Gather clinical and insurance documentation for prior auth submissions.
• Verify patient eligibility and benefits via payer websites or calls.
• Input data into forms and maintain case records in client systems.
• Track request status and communicate updates to nursing and provider teams.

Skills

Data entry

System navigation

Attention to detail

Repetitive workflows

Education

Active Philippine RN license

Job description

Hammerjack Pty Ltd in the Philippines is seeking an Prior Authorization Admin Support RN to coordinate and submit prior authorization requests end-to-end. You will gather patient data, verify coverage, and enter information into payer portals while ensuring proper documentation accompanies each request.

The role emphasizes accurate data entry, familiarity with payer portals, and strong attention to detail in a fast-paced, client-focused environment.