Authorization jobs in Quezon

*Position Summary:** The individual in this position works under direction of Case Manager/UR RN or Social Worker with a primary role of supporting the daily operations of the UR team through the completion of various administrative duties. The individual’s responsibilities include but are not limit

The **Prior Authorization Quality Analyst (QA)** is responsible for monitoring, auditing, and improving the quality and accuracy of prior authorization processes in a Healthcare BPO environment. This role ensures compliance with client requirements, payer guidelines, and regulatory standards while d

The **Prior Authorization Supervisor** oversees daily prior authorization operations within a Healthcare BPO environment. This role ensures timely and accurate submission, tracking, and approval of prior authorization requests while leading a team to meet productivity, quality, and compliance standa

The **Prior Authorization Manager** leads and oversees prior authorization operations within a Healthcare BPO environment. This role is responsible for ensuring timely, accurate, and compliant authorization processing while managing teams, client expectations, and continuous improvement initiatives.

Access Healthcare is looking for motivated and detail-oriented individuals to join our Healthcare Prior Authorization team. *Key Responsibilities:** Review and process prior authorization requests from healthcare providers. Verify patient insurance coverage and ensure compliance with payer requireme

We are seeking a detail-oriented and experienced Prior Authorization Specialist to manage the full lifecycle of prior authorizations (PAs) for medical services. The ideal candidate will be responsible for timely submission, meticulous follow-up, and effective resolution of all prior authorization re

We are seeking a detail-oriented and experienced Prior Authorization Specialist to manage the full lifecycle of prior authorizations (PAs) for medical services. The ideal candidate will be responsible for timely submission, meticulous follow-up, and effective resolution of all prior authorization re

*About The Job** We are seeking a detail-oriented and experienced Prior Authorization Specialist to manage the full lifecycle of prior authorizations (PAs) for medical services. The ideal candidate will be responsible for timely submission, meticulous follow-up, and effective resolution of all prior

Ready to become part of the dynamic Accenture team? We’re seeking candidates with the right skills and experience for this role. Think you match the profile? Reach out to us, we'd love to hear from you! What you’ll do: As an Application Developer, you will design, build, and configure applications t

*Workers Compensation Pharmacy Prior Authorization Supervisor** The client is a full-service **Workers Compensation Pharmacy Benefit Management** company focused on patient advocacy. By combining clinical expertise and advanced business analytics, it simplifies workers’ compensation claims managemen

*Workers Compensation Pharmacy Prior Authorization Representative** The client is a full-service **Workers Compensation Pharmacy Benefit Management** company focused on patient advocacy. By combining clinical expertise and advanced business analytics, it simplifies workers’ compensation claims manag

This is a remote position. Virtual Rockstar is hiring a reliable and detail-oriented Insurance Verification & Authorization Specialist for our client's team to support a growing rehabilitation clinic network based in the Mountain Time Zone. In this fully remote position, you will play a key role

*Responsibilities** Consultant will be responsible for SAP Security access and user access controls for all the SAP instances. You will work closely with the SAP functional teams and the System integration partner in architecting, designing, implementing, and governing the SAP security framework for

*Role: Prior Authorization Specialist (US Healthcare)** *About Visaya KPO:** Visaya Knowledge Process Outsourcing Corporation is a proudly Filipino organization recognized globally for service excellence, innovation, and a culture of malasakit. We are committed to building long-term partnerships thr

*Ensure Timely Treatment Through Efficient Insurance Authorizations** As a **Prior Authorization Coordinator - Healthcare**, you will; play a critical role in enabling timely patient access to essential medical services by managing insurance authorizations within a fast-moving healthcare environment

We are hiring for Healthcare Customer Service Representatives for BGC! What will you do in this role? You will be responsible for providing expertise and excellent customer service support that meet the needs of our patients by educating them on balance billing, payment processing, available payment

Makati | Hybrid Work Model | Competitive base + benefits We are not your typical cyber security team. We are technically sharp, delivery focused and trusted across complex multi environment organisations, and we are looking for an Identity and Access Management Specialist to own identity infrastruct

Position Summary As a Customer Advocate, you will be supporting communication between MedRisk/SPNet’s network providers and referring adjusters and nurse case managers. You will report to the Customer Advocate Team Lead and/or Supervisor to help strengthen MedRisk/SPNet’s referral process, ensuring

Primary Duties & Responsibilities * Clinical Oversight: * Confirming attendance of initial evaluation (IE) and receipt of IE Report * Reviews documentation and updates cases with accurate clinical information, including but not limited to ICD codes, Date of Surgery, Clinical Guidelines, ROM/Strength

Job Description As CohnReznick grows, so do our career opportunities. As one of the world’s top professional services firms, and in support of our global workforce strategy, we’re growing our operations in the Philippines through our wholly owned affiliate, CohnReznick Philippines. We create rewardi