Prior Authorization and Eligibility Checker | Work From Home

* Manage correspondence with insurance companies, physicians, specialists, and patients as needed, including documenting in the EHR as appropriate.
* Assist with the necessary documentation to expedite approvals and ensure that appropriate follow-up is performed.
* Review the accuracy and completeness of the information requested and ensure that all supporting documents are present.
* Follow team and/or client's proper procedures, policies, and methodologies as instructed.
* Performs other related duties as necessary or assigned

Eligibility and Benefits Verification:

* Verify insurance eligibility for new and established patients by contacting insurance companies and using online verification systems.
* Review insurance plans to ensure proper coverage for Senior/Elder Care (e.g., wellness visits, screenings, and vaccinations).
* Confirm patient benefits, co-pays, deductibles, and any specific requirements or limitations for Senior Care.
* Provide patients with detailed information regarding their coverage, including potential out-of-pocket costs.

Minimum Qualifications:

* Graduate of Bachelor's Degree (preferably in Medical, but not required)
* Consultancy basis minimum of 6 months consultancy contract (subject for renewal)
* At least 1 year of background with Prior Authorization under a BPO healthcare account is an advantage
* Must have excellent English communication skills, both written and oral
* Ability to prioritize and organize multiple tasks
* Strong communication skills and customer centric
* Willing to work in shifting schedules, mostly night shift
* Able to work from home, must have a reliable internet connection

Others:

* Equipment/ company computer is provided
* Work from Home