Remote Prior Authorization & Eligibility Specialist

Vector Outsourcing Solutions Philippines; Mandaluyong; Remote; PHP 335,000 - 446,000; Full time

Benefits offered by this job

Equipment provided

Work from home

Job summary

Vector Outsourcing Solutions Philippines is hiring for a healthcare account specialist to manage prior authorizations, review patient records, and coordinate with insurers to speed approvals. This remote role involves night shifts, requires strong English, multitasking, and attention to detail, with equipment provided.

You will process referrals, submit records, verify benefits and co-pays, and ensure complete documentation according to client procedures.

Qualifications

• Graduate with a bachelor’s degree (medical preferred but not required).
• 6 months consultancy contract minimum (renewal subject).
• 1 year of prior authorization experience in a BPO healthcare account is an advantage.
• Excellent English communication skills, written and spoken.
• Ability to prioritize and organize multiple tasks.
• Strong communication and customer-centric approach.
• Willing to work shifting schedules, mostly night shift.
• Able to work from home with reliable internet.

Responsibilities

• Receive prior authorization requests via EHR Scheduling Module, phone or fax and monitor them.
• Process referrals and submit medical records to insurers to expedite authorization.
• Review patient history and insurance coverage for approval.
• Manage correspondence with insurers, physicians, and patients in the EHR.
• Assist with documentation to expedite approvals and follow-up.
• Check information accuracy and ensure all documents are present.
• Follow client procedures, policies, and methodologies.
• Perform additional related duties as assigned.

Skills

English proficiency

Prior authorization

Multitasking

Communication skills

Customer service

Education

Bachelor's degree

Job description

Vector Outsourcing Solutions Philippines is hiring for a healthcare account specialist to manage prior authorizations, review patient records, and coordinate with insurers to speed approvals. This remote role involves night shifts, requires strong English, multitasking, and attention to detail, with equipment provided.

You will process referrals, submit records, verify benefits and co-pays, and ensure complete documentation according to client procedures.