Prior Authorization Specialist

Zitro Global Solutions; Cebu City; Remote; PHP 3,193,000 - 5,109,000; Full time

Job summary

Zitro Global Solutions is seeking a Prior Authorization Specialist to support a US-based healthcare practice. This remote, full-time role requires strong knowledge of US insurance processes and patient coordination.

You will handle authorizations, verification, and documentation while communicating with insurers and healthcare teams. The position offers a 100% work-from-home setup and opportunities to grow within a supportive team.

Qualifications

• Prior authorization experience is required.
• Knowledge of US healthcare insurance processes and medical terminology.
• Familiarity with EMR/EHR systems.
• Excellent English communication skills.
• Able to work independently and maintain patient confidentiality.

Responsibilities

• Process prior authorization requests for medications, procedures, and medical services.
• Follow up with insurance companies on pending, approved, and denied requests.
• Verify patient insurance eligibility and benefits.
• Coordinate referrals and required medical documentation.
• Communicate with insurance providers, patients, and healthcare staff.
• Track authorization status and ensure timely processing.
• Maintain accurate patient records using EMR/EHR systems.
• Handle related medical administrative tasks.

Skills

Prior Authorization

Healthcare knowledge

English Communication

Organizational Skills

Multitasking

Tools

EMR/EHR Systems

Job description

WE'RE HIRING: PRIOR AUTHORIZATION SPECIALIST

Work From Home | Full-Time | US-Based Healthcare Client

Zitro Global Solutions is looking for an experienced Prior Authorization Specialist to support a US-based healthcare practice. The ideal candidate should have strong knowledge of US healthcare insurance processes, authorization requirements, and patient coordination.

Key Responsibilities:

• Process prior authorization requests for medications, procedures, and medical services.
• Follow up with insurance companies on pending, approved, and denied requests.
• Verify patient insurance eligibility and benefits.
• Coordinate referrals and required medical documentation.
• Communicate with insurance providers, patients, and healthcare staff.
• Track authorization status and ensure timely processing.
• Maintain accurate patient records using EMR/EHR systems.
• Handle related medical administrative tasks.

Qualifications & Requirements

• Previous experience as a Prior Authorization Specialist or Medical Virtual Assistant.
• Prior authorization experience is required.
• Knowledge of US healthcare insurance processes and medical terminology.
• Experience with insurance verification and claims coordination is an advantage.
• Familiarity with EMR/EHR systems.
• Excellent English communication skills.
• Strong organizational, multitasking, and problem-solving abilities.
• Ability to work independently and maintain patient confidentiality.

Work Setup Requirements

• Reliable laptop or desktop computer.
• Stable internet connection.
• Noise-canceling headset preferred.
• Quiet and professional workspace.
• Availability to work during US business hours.

What We Offer

• 100% Work-From-Home opportunity.
• Competitive pay based on experience.
• Supportive team environment.
• Career growth opportunities.