Prior Authorization Specialist — RN/MA (Care Coordination)

Dart Solutions; Philippines; On-site; PHP 2,463,054 - 3,694,581; Full time

Job summary

Dart Solutions is seeking a detail-oriented Prior Authorizations Specialist in Madison, Philippines. The role requires an experienced Registered Nurse or Medical Assistant to manage prior authorizations, ensuring smooth care coordination by processing medical records and importing lab results into the EHR.

Applicants should possess an active RN license or MA certifications, with at least 1 year of healthcare experience. Strong organizational skills and excellent communication are essential for success in this fast-paced environment.

Qualifications

• Active Registered Nurse (RN) license, or MA certifications.
• 1+ years of experience in care coordination or case management preferred.
• Experience with electronic health records (EHRs); familiarity with MDHQ, Epic/Cerner/eClinicalWorks is a plus.

Responsibilities

• Initiate, submit, and follow up on prior authorizations.
• Process inbound and outbound medical records requests.
• Retrieve, verify, and import laboratory and imaging results into the EHR.

Skills

U.S. healthcare systems knowledge

Insurance processes

Clinical workflows

Attention to detail

Communication skills

Education

Active RN license or MA certifications

Tools

EHR systems

Job description

Dart Solutions is seeking a detail-oriented Prior Authorizations Specialist in Madison, Philippines. The role requires an experienced Registered Nurse or Medical Assistant to manage prior authorizations, ensuring smooth care coordination by processing medical records and importing lab results into the EHR.

Applicants should possess an active RN license or MA certifications, with at least 1 year of healthcare experience. Strong organizational skills and excellent communication are essential for success in this fast-paced environment.