Prior Authorization Specialist — Patient Access & Care

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

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.