Registered Nurse

Tata Consultancy Services; Taguig; On-site; PHP 357,000 - 580,000; Full time

Job summary

Tata Consultancy Services in the Philippines invites applications for a Prior Authorization Admin Support RN to coordinate and submit prior authorization requests end-to-end. You will gather patient information, verify coverage, and ensure documentation is correctly uploaded to payer portals.

Responsibilities include verifying eligibility, entering data into client systems, tracking request status, and communicating updates to nursing and provider teams, with a focus on accuracy and compliance

Qualifications

• Active Philippine RN license.
• Experience in BPO or healthcare operations preferred.
• Strong data entry and attention to detail.
• Familiar with repetitive workflows and client-specific systems.

Responsibilities

• Gather clinical and insurance documentation required 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

Attention to detail

Communication

Process adherence

Education

Active Philippine RN license

Tools

Payer portals

CRM systems

Job description

The Prior Authorization Admin Support RN will assist with the end-to-end coordination and submission of prior authorization requests. This includes gathering patient information, verifying insurance coverage, entering data into payer portals, and ensuring proper documentation is submitted alongside requests.

Key Responsibilities

• - Gather clinical and insurance documentation required 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

Requirements

• - Active Philippine RN license
• - BPO, healthcare operations, or prior auth experience preferred
• - Strong data entry, system navigation, and attention to detail
• - Comfortable with repetitive workflows and client-specific systems