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Open nowFirst seen 2 days ago

Prior Authorization Team Lead

PM Consulting1,470 open roles

Where
Quezon City, Metro Manila, Philippines
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Your applicationOpen nowPrior Authorization Team LeadPM Consulting · 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 PM Consulting's own form.

The reply lands in your private mailbox

3×more interviews than doing it yourself with ChatGPT.

The clock on this job

Early applications get read.

11.8% of postings close within 7 days. Measured by our own scanner across the market. PM Consulting postings stay open a median of 1 days.

Share of postings closed within
  1. 2.1%1 day
  2. 4.4%3 days
  3. 11.8%7 days
  4. 18.6%14 days
  5. 35.6%30 days
  6. 45.1%60 days
This job: first seen 2 days ago

PM Consulting median: 1 days open

The posting

PATIENT ACCESS - LEAD / SUPERVISOR

Company: Confidential Hiring Location: Bridgetowne, Quezon City Work Setup: Onsite Schedule: Mid Shift

We are looking for an experienced Patient Account Specialist Supervisor to oversee the daily operations, performance, quality, and development of the Account Specialist team under Patient Access – Benefits & Authorization.

Key Responsibilities:

  • Supervise daily operations involving insurance verification, benefits review, package registration, referrals, authorization support, and patient financial responsibility workflows.
  • Monitor team productivity, quality, turnaround times, and service levels.
  • Serve as a subject matter expert on payer requirements, eligibility tools, benefit interpretation, referrals, authorizations, network status, and provider participation.
  • Review team documentation to ensure accuracy and compliance with established standards.
  • Provide coaching, training, feedback, and performance development to team members.
  • Handle escalated patient, provider, payer, and internal inquiries.
  • Collaborate with Front Office, Clinical, Contact Center, Revenue Cycle, and leadership teams to resolve issues and improve workflows.
  • Support staffing coordination, workload balancing, process improvement, and quality assurance initiatives.
  • Prepare and communicate operational and performance reports to leadership.
  • Ensure compliance with departmental policies, payer requirements, privacy standards, and applicable regulations.

Qualifications:

  • High School Diploma or equivalent required; Associate's or Bachelor's degree in Healthcare Administration, Business, or a related field is preferred.
  • At least 3–5 years of experience in Patient Access, Insurance Verification, Benefits, Referrals, Authorizations, Revenue Cycle, physician office, or hospital environments.
  • At least 1 year of experience in a lead, supervisory, training, quality review, or workflow coordination capacity is preferred.
  • Strong knowledge of insurance verification, benefit interpretation, prior authorization, referral processes, payer requirements, and patient financial responsibility.
  • Familiarity with CPT, ICD-10, medical terminology, clinical documentation, and payer medical necessity guidelines.
  • Proficiency in EHR systems, eligibility tools, pre-certification platforms, payer portals, Microsoft Office, and reporting tools.
  • Strong leadership, communication, organizational, analytical, problem-solving, coaching, and conflict-resolution skills.
  • Ability to manage workloads, analyze trends, identify root causes, and implement workflow improvements.
  • Orthopedic experience is strongly preferred.

What We Offer:

  • Onsite work environment in Bridgetowne, Quezon City
  • Mid-shift schedule
  • Opportunity to lead and develop a healthcare-focused Patient Access team
  • Career growth and professional development opportunities
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