Remote Medical Authorization QA Specialist

OpsArmy; Bulakan; Remote; PHP 2,689,000 - 4,097,000; Full time

Benefits offered by this job

Full-time remote work

Experience in medical records

Growth into leadership roles

Collaborative, fast-paced environment

Job summary

OpsArmy in the Philippines is hiring a Medical Authorization Triage Specialist to support a medical records workflow. You will serve as the first quality-control step, reviewing signed HIPAA authorizations, validating patient and case information, and preparing documentation before cases move forward.

The ideal candidate is highly accurate, comfortable with legal and medical documents, and ready to identify inconsistencies early to prevent delays.

Qualifications

• Excellent written English with strong attention to detail.
• Ability to read and understand legal and medical documents.
• High level of accuracy when reviewing and comparing information.

Responsibilities

• Review HIPAA Authorizations: Verify signatures, patient information, dates of birth, dates of service, and other required details. Review supporting documentation such as Power of Attorney (POA) or guardianship documents when applicable.
• Cross-Check Case Details: Compare authorization information against internal records and identify discrepancies in names, dates of birth, or other case details.
• Prepare Documents: Transfer required information into authorization templates using Adobe Acrobat or similar document-editing tools.
• Perform Quality Checks: Review completed files for accuracy, completeness, formatting issues, and other potential reasons for rejection.
• Identify and Resolve Defects: Flag missing or invalid information, create clear follow-up tasks, and place cases on hold until required corrections are completed.
• Follow Up and Escalate: Monitor pending cases and escape urgent or delayed items with clear, specific information.
• Maintain Accurate Records: Document decisions, updates, and case status so information is clear and accessible to other team members.

Skills

Excellent written English

Legal and medical document literacy

High accuracy

Organizational skills

Independent worker

Proficiency with digital documents

Availability to overlap EST hours

Job description

OpsArmy in the Philippines is hiring a Medical Authorization Triage Specialist to support a medical records workflow. You will serve as the first quality-control step, reviewing signed HIPAA authorizations, validating patient and case information, and preparing documentation before cases move forward.

The ideal candidate is highly accurate, comfortable with legal and medical documents, and ready to identify inconsistencies early to prevent delays.