InterviewStack.io LogoInterviewStack.io
Browse more Technical Support Engineer jobs

Healthcare Customer Service Representative

HRTX

Pasig City, Metro Manila, Philippines1 month ago
32 views10 saves4 applies

Benefits

Health Insurance

Job Type

full time

Description

We are seeking a detail-oriented and compassionate Customer Service Representative (CSR) to join our Healthcare team, specifically supporting prior authorization services. In this role, you will assist patients, providers, and pharmacy professionals by verifying benefits, explaining coverage, and facilitating prior authorization requests for healthcare services and medications.

Qualifications:

  • Must be College graduate in any Medical Allied course
  • 6 months experience in healthcare
  • Preferably with prior authorization experience.
  • Good to excellent comms skills.
  • Can start ASAP.

Responsibilities:

  • Handle end-to-end prior authorization requests for healthcare services or medications
  • Verify patient insurance eligibility and coverage details
  • Review and collect required clinical documentation for submission
  • Submit PA requests to insurance payers via portal, fax, or phone
  • Track and follow up on submitted authorizations to ensure timely processing
  • Communicate authorization status, approvals, or denials to providers and patients
  • Assist with appeals and additional documentation requests when needed
  • Maintain accurate records in system and ensure HIPAA compliance

    • This job is found at InterviewStack.io

    Skills

    hipaaclinical documentationprior authorizationcustomer service

    About HRTX

    HRTX, Corp. incorporates a technology-based approach to address and supports the transformation of companies to adapt to an agile culture. Its scope of service covers recruitment, employee engagement and retention, employee recognition and reward system, employee pay and bonuses, staff development and training, workforce relations, performance improvement, and benefits administration.

    hr consulting, human resourcesWebsite