Remote Prior Authorization Specialist - US Healthcare Ops

PsychPlus; Philippines; Remote; PHP 253,000 - 331,000; Full time

Benefits offered by this job

Remote work from the Philippines

Experience with U.S. healthcare and R"

Job summary

PsychPlus is hiring a Prior Authorization Specialist to support U.S. healthcare authorization processes. This role requires coordinating with insurance companies and internal teams to obtain and maintain required authorizations, with a strong emphasis on accuracy, documentation, and timely follow-up.

The position is remote from the Philippines, offering exposure to U.S. healthcare operations and revenue cycle management in a growing digital-first care model.

Qualifications

• Strong written and verbal English communication skills.
• At least 1 year of experience in U.S. healthcare prior authorization or related revenue cycle work.
• Proficiency with Microsoft Excel or Google Sheets.
• Ability to work independently in a remote environment.

Responsibilities

• Review patient and insurance information to determine prior authorization requirements.
• Submit prior authorization requests to insurance companies and payer portals.
• Gather and organize required clinical and administrative documentation.
• Follow up with insurance companies regarding pending authorization requests.
• Track authorization status and reference numbers; maintain records in healthcare systems.

Skills

English communication

Attention to detail

Organization

Time management

Ability to work remotely

Tools

Excel

Google Sheets

Payer portals

EHR/EMR systems

Job description

PsychPlus is hiring a Prior Authorization Specialist to support U.S. healthcare authorization processes. This role requires coordinating with insurance companies and internal teams to obtain and maintain required authorizations, with a strong emphasis on accuracy, documentation, and timely follow-up.

The position is remote from the Philippines, offering exposure to U.S. healthcare operations and revenue cycle management in a growing digital-first care model.