Remote Authorization Specialist - Payer Approvals

Taio Connect; Metro Manila; Remote; PHP 279.000 - 469.000; Vollzeit

Zusammenfassung

Taio Connect is seeking an Authorization Specialist to coordinate and manage the prior authorization process across multiple disciplines for a home health agency. You will submit requests to payers such as UnitedHealthcare, WellMed, Molina, and Aetna, and actively follow up to resolve any issues or denials.

You will maintain detailed records, enter final authorizations into the Access EMR, and collaborate with the clinical team to ensure timely submissions while upholding accuracy and compliance.

Qualifikationen

• Experience with prior authorizations, ideally in a home health or multi-disciplinary setting.
• Familiarity with authorization requirements for key payers (UnitedHealthcare, WellMed, Molina, Aetna, etc.).
• Proficiency in Access EMR and tracking spreadsheets.
• Exceptional attention to detail and ability to manage high-volume workloads.

Aufgaben

• Authorization Submission: Prepare and submit authorization requests for all disciplines (PT, OT, SN, HHA, MSW, ST) to various payers.
• Communicate and proactively follow up with payers on status and resolve issues or denials.
• Documentation & Tracking: detail status in agency spreadsheet; enter final authorizations into the Access EMR; maintain records.
• Work closely with the clinical team to ensure timely submission of authorization requests

Kenntnisse

Prior authorization experience

Payer coordination

English communication

High-volume coordination

Attention to detail

Tools

Access EMR

Spreadsheets (Excel/Sheets)

Jobbeschreibung

Taio Connect is seeking an Authorization Specialist to coordinate and manage the prior authorization process across multiple disciplines for a home health agency. You will submit requests to payers such as UnitedHealthcare, WellMed, Molina, and Aetna, and actively follow up to resolve any issues or denials.

You will maintain detailed records, enter final authorizations into the Access EMR, and collaborate with the clinical team to ensure timely submissions while upholding accuracy and compliance.