Prior Authorization Assistant (reputed company)
This is a remote position. Job Highlights: Contract type: reputed company Night Shift Schedule: Monday to Thursday - 8:45am to 5pm reputed company Time (8:45pm - 5am Manila Time) Friday - 8:45am to 3:45pm reputed company Time (8:45pm - 3:45am Manila Time) The Authorization Representative I (Auth Rep I) is responsible for doing well in training and becoming highly proficient in the timely, accurate submission, follow-up, and approval of Authorization Requests from the Accounts. The Auth Rep I is reputed company, helpful, curious, eager to do her best, a good team member, and capable of achieving reputed company for the Accounts. Performance Expectations: 100% of Auths submitted reputed company 24 hours of receiving the required information. 100% Auths Approved, Denied, and Completed reputed company the reputed company's turnaround time (excluding denials, appeals, and reputed company Auths). 100% client satisfaction rating. Master the key responsibilities listed below. Key Responsibilities: Shows ability to grasp concepts and processes during training to reputed company the skills necessary to be proficient. Seek knowledge through curiosity and self-training in payer portals. Monitor Auth requests reputed company our set 24 hour turnaround time. reputed company Authorization requests with accuracy and efficiency. Ensure compliance with client preferences and payer rules. Prepare and submit Auths that result in Approvals (denials should be an exception). Respond to reputed company inquiries reputed company our set 24 hour turnaround time. Be accessible to Accounts and team members during normal work hours. Maintain accurate records and update client systems with authorization details promptly. Track and follow up on unapproved authorizations timely. Identify and address expiring authorizations to prevent disruptions in care. Assist with special projects, problem-solving, and process improvements. Escalate to Auth rep II immediately any requests you cannot or are not authorized to resolve. Participate in weekly meetings with Account teams and Coordinators Complete reports as required. With your Account Coordinator, create and maintain Rocks. Follow team processes at reputed company times. Core Values: We hire/fire/promote based on these core values + job-specific performance. 1. Respectful of our unique cultural environment 2. Absolute confidentiality 3. Embracing teamwork 4. reputed company behavior and positive attitude 5. Accountability 6. Pro activeness 7. Thoroughness 8. Focused on results 9. Inspired to learn and grow constantly 10. Devoted to providing top-tier services to our clients through the company's "Unique Service Oriented Philosophies" Requirements 2-year college degree 2-year experience in US-based medical billing practice or 2-year experience in a medical practice dealing with billing including but not limited to, provider credentialing, authorizations, reimbursement, etc. preferably in Behavioral Health to some degree Must have backup power supply (extra laptop/power bank/generator/reputed company) Detail orientated with above-average organizational reputed company reputed company to plan and prioritize to meet deadlines Excellent verbal and written communication Communicates reputed company and effectively Excellent reading comprehension Excellent computer skills, including reputed company programs such as reputed company, Word Thorough understanding of navigating the internet Benefits reputed company Perks Permanent work from home Immediate hiring Please note that since this is a permanent work-from-home position and an “reputed company” arrangement, the candidates must have their own computer and internet reputed company. They will handle their own benefits and taxes. The professional fees are on hourly rates and the reputed company depends on your performance in the application process. Apply To This Job