Medical Authorization Specialist (Spine Surgery)
New
W
Winning AssistantsSpine Surgery
Philippines, 8:00 AM to 5:00 PM Pacific TimeFull-Time
Salary5 - 7 USD per hour
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Job Details
- Languages
- English
- Required Skills
- Google Workspace
Requirements
- Previous hands-on surgery authorization experience.
- Proficiency in navigating multiple insurance portals.
- Strong understanding of prior authorization and insurance appeals processes.
- Experience communicating directly with insurance companies.
- Familiarity with insurance and medical procedure codes.
- Ability to review clinical notes and supporting medical documentation.
- Familiarity with EHR/EMR systems such as Epic, Cerner, or Athena.
- Excellent English communication and documentation skills.
- Ability to provide NBI or Local Police Clearance upon onboarding.
- Reliable high-speed internet (minimum 25 Mbps) and professional home workspace.
- Ability to attend video meetings with camera on when required.
Responsibilities
- Manage and process surgery authorizations for orthopedic and spine procedures.
- Submit prior authorization requests and track status through insurance portals.
- Review denied or rejected requests and manage the insurance appeals process.
- Gather and organize clinical documentation, notes, and reports for submission.
- Communicate directly with insurance representatives regarding authorizations and claim status.
- Maintain accurate tracking records and administrative documentation.
- Collaborate with internal team members to provide status updates on authorizations.
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