Authorization Specialist
New
S
SuperStaffHealthcare / Billing
Makati City, Metro Manila, Philippines. Angeles, Pampanga, Philippines, Night shiftFull-TimeMiddle
Salary33,000 - 36,500 PHP per month
Apply NowOpens the employer's application page
Job Details
- Experience
- 3+ years
- Required Skills
- Data entryEHRHIPAA
Requirements
- 3+ years in insurance authorizations or medical billing.
- Strong understanding of insurance authorization processes and physical therapy billing requirements.
- High attention to detail and accuracy in data entry, documentation, and tracking.
- Ability to interpret clinical notes and match them to payer requirements.
- Proficiency in navigating EHR systems (e.g., Stride) and payer authorization portals.
- Excellent organizational skills with the ability to manage high volumes of submissions.
- Clear written communication skills.
- Discretion in handling confidential patient and payer information.
- Familiarity with physical therapy terminology and clinical documentation standards.
- Strong time management skills to meet payer deadlines.
- High school diploma or equivalent required.
- Knowledge of HIPAA and healthcare documentation standards preferred.
Responsibilities
- Identify patients requiring insurance authorization by auditing patient files and pulling relevant reports.
- Submit accurate and timely authorization requests, including additional visits and extensions, following payer-specific protocols.
- Utilize evaluative notes in chronological order to support authorization submissions.
- Monitor visit counts and date ranges to prevent gaps or overlaps in authorized care.
- Document all submissions in the authorization spreadsheet and patient charts.
- Retrieve and upload authorization responses and notify stakeholders of denials.
- Audit charts to ensure authorizations are accurately linked to each date of service.
View Full Description & ApplyYou'll be redirected to the employer's site
