Remote Behavioral Health Prior Authorization Specialist

Enterprise Management Solutions, Inc.; Philippines; À distance; AUD 20 529 000 - 22 582 000; Plein temps

Avantages offerts par ce poste

Full-time remote work

Stable long-term engagement

Training and development

Exposure to U.S. healthcare operations

Résumé du poste

Freedom Health Systems, Inc. is seeking an RRP Prior Authorization Specialist for a fully remote, independent contractor role.

You will coordinate all prior authorizations for residential recovery services, align with admissions, clinical, billing, and utilization teams, and ensure timely submissions to MCOs and payers. Ideal candidates possess experience in healthcare prior authorizations, Medicaid/MCO guidelines, EHR/proprietary payer portals, and strong organizational skills to support

Qualifications

• High school diploma or equivalent required.
• Background in healthcare authorization or utilization management preferred.
• Ability to pass background checks.

Responsabilités

• Coordinate initial and ongoing prior authorization requests for residential treatment.
• Monitor authorization status and renewals to prevent service interruptions.
• Communicate with MCOs and payers regarding approval status and documentation.

Connaissances

Prior authorizations

Medicaid knowledge

EHR proficiency

Payor portals

Microsoft Office

Time management

Communication

Formation

High school diploma

Health administration degree preferred

Outils

EHR systems

Payor portals

Microsoft Office

Description du poste

Freedom Health Systems, Inc. is seeking an RRP Prior Authorization Specialist for a fully remote, independent contractor role.

You will coordinate all prior authorizations for residential recovery services, align with admissions, clinical, billing, and utilization teams, and ensure timely submissions to MCOs and payers. Ideal candidates possess experience in healthcare prior authorizations, Medicaid/MCO guidelines, EHR/proprietary payer portals, and strong organizational skills to support