Remote Prior-Authorization Specialist

Clear Desk; Philippines; Remote; PHP 350,000 - 550,000; Full time

Benefits offered by this job

Fair compensation

Prepaid HMO coverage

Tools and training for growth

Recognition of achievements

Supportive remote culture

Job summary

ClearDesk is hiring an Authorizations Coordinator to support home health and therapy services by managing prior authorizations, denials follow-up, and medical necessity documentation.

You will read charts across nursing and therapy disciplines, interact with payer portals, and coordinate with clinicians to optimize approvals, scheduling, and patient care in a remote, international team.

Qualifications

• Basic understanding of medical terminology and standard billing codes.
• Healthcare experience with exposure to medical insurance, prior authorizations, and benefit verification.
• Strong time management and ability to handle high-volume workloads.
• Attention to detail and ability to review charts for payer guidelines compliance.
• Willing to work in a US time-zone schedule.

Responsibilities

• Request and track prior authorizations for various services across disciplines.
• Submit complete authorization packages to insurers via portals and fax systems.
• Process authorization requests for new referrals and ongoing cases.
• Review patient charts to ensure medical necessity is justified.
• Verify diagnosis, procedure codes, and benefit information for payer alignment.
• Monitor pending requests daily and follow up on delays or missing approvals.
• Manage high daily volume and handle phone calls for requests.
• Coordinate with clinical staff and prepare documentation for uploads.
• Record approvals, counts, effective dates, and communications in the EHR.
• Adhere to deadlines for contract reporting and scheduling coordination.

Skills

Medical terminology

Billing codes

Prior authorizations

Benefit verification

Time management

Attention to detail

Independent work

US time-zone readiness

Tools

HD webcam

Noise-canceling headset

Reliable Internet (25 Mbps)

Backup laptop

Backup power/Internet

Job description

ClearDesk is hiring an Authorizations Coordinator to support home health and therapy services by managing prior authorizations, denials follow-up, and medical necessity documentation.

You will read charts across nursing and therapy disciplines, interact with payer portals, and coordinate with clinicians to optimize approvals, scheduling, and patient care in a remote, international team.