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Open nowFirst seen 28 hours ago

Prior Authorization Specialist

CF Outsourcing Solutions35 open roles

Where
Quezon City, Metro Manila, Philippines
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Your applicationOpen nowPrior Authorization SpecialistCF Outsourcing Solutions · Quezon City, Metro Manila, Philippines

  1. YouYes, apply to this one.

  2. CV RocketCV written for this posting.

  3. 25 readersRecruiter, hiring manager, skeptic. Round after round.

  4. CV RocketApplied on CF Outsourcing Solutions's own form.

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The clock on this job

Early applications get read.

11.5% of postings close within 7 days. Measured by our own scanner across the market.

Share of postings closed within
  1. 2.0%1 day
  2. 4.3%3 days
  3. 11.5%7 days
  4. 18.1%14 days
  5. 35.6%30 days
  6. 44.6%60 days
This job: first seen 28 hours ago

The posting

Job Summary:

Reporting to the Clinical Director and working closely with the Clinical Team, this role plays a key part in ensuring the financial health of the organization. The position serves as a vital link between patients with mental health and/or substance use disorders and insurance providers, healthcare services, and billing operations. It is essential to the success of the companys programs.

Key Responsibilities:

Therapy/IOP Prior Authorizations (PARs):

  • Confirm insurance coverage Monitor and track therapy sessions weekly Coordinate with therapists to obtain necessary documentation Prepare and submit PARs Upload and organize submissions; maintain tracking sheets Notify RMH Manager and therapists of authorization outcomes Residential Mental Health (RMH) PARs: Verify insurance eligibility Complete and submit RMH PARs Upload and organize documentation Communicate approval or denial status to RMH Manager and therapists Housing PARs (if applicable): Monitor the housing PAR request tracker Collaborate with therapists to write clinical snapshots Ensure accuracy of the tracker Inform the housing team of approved applicants

Qualifications:

  • Bachelor's degree required
  • With at least 1 year experience in Prior Authorization.

General Duties:

  • Respond promptly to emails and phone calls
  • Provide timely updates to third-party payers
  • Complete daily documentation
  • Submit Superbills within 24 hours of patient discharge
  • Attend all required meetings
  • Support the Clinical Director, RMH Manager, and Therapy Team as needed
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