Insurance Authorization Specialist @Leading Ophthalmology Clinic

Overview

The role of Insurance Authorization Specialist involves providing essential approval management and referral support to ensure accuracy in the insurance authorization process. The company is a leading ophthalmology clinic based in Texas, dedicated to employee fulfillment and career growth.

Key Responsibilities

• Process 60-80 insurance authorizations daily from insurance portals for patient referrals.
• Verify and confirm authorization status for specific patient appointments with healthcare providers.
• Complete and submit authorization request forms for various insurance carriers.
• Perform data entry and administrative tasks related to insurance authorization and referral management.
• Identify and flag authorization discrepancies to ensure accuracy for patient referrals and surgical procedures.
• Collaborate with the insurance team to maintain data integrity and compliance.
• Communicate regularly with team members regarding authorization status and documentation requirements.

Requirements

• Must-Have: 1-3 years of relevant experience in healthcare, insurance, or administrative roles.
• Strong attention to detail and organizational skills.
• Ability to manage high-volume daily tasks independently and efficiently.
• Basic understanding of medical insurance, authorizations, and referral processes.
• Excellent written and verbal communication skills.
• Proficiency navigating insurance portal systems.
• Nice-to-Have: Experience with ModMed electronic health record (EHR) software.
• Prior experience in insurance authorization, referral management, or healthcare administration.
• Knowledge of medical insurance terminology, coverage policies, and referral procedures.
• Experience with healthcare data entry systems.

Benefits

• 100% Remote Work.
• 13th Month Pay.
• Healthcare (HMO).
• Comprehensive Fringe Benefits package.
• Paid Service Incentive Leave (SIL).
• Paid Philippines Holidays.
• Free Learning and Development Programs.

Location

Remote, Philippines

How to Apply

The application process includes a Recruiter Interview, Client Interview, and Practical Test. Candidates will be kept informed throughout the process.