Insurance Authorization Specialist
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Job Description
Insurance authorization specialist supporting a Texas ophthalmology clinic’s patient referrals and surgical procedures. Processing high-volume approvals through insurance portals for timely patient care.
Responsibilities:
- Process 60-80 insurance authorizations daily from insurance portals for patient referrals
- Verify and confirm authorization status and availability 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 for patient appointments and surgery-related referrals
- Collaborate with the insurance team to maintain data integrity, accuracy, and compliance
- Communicate regularly with team members regarding authorization status and documentation requirements
Requirements:
- 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
- Experience with ModMed electronic health record (EHR) software (nice-to-have)
- Prior experience with insurance authorization, referral management, or healthcare administration (nice-to-have)
- Knowledge of medical insurance terminology, coverage policies, and referral procedures (nice-to-have)
- Experience with healthcare data entry systems (nice-to-have)
- Must currently reside in the Philippines and be legally authorized to work there
- Reliable computer, high-speed internet, and a quiet, dedicated workspace ready for remote work
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
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