Prior Authorizations Specialist (Onsite)

Bonus: $200 at 30 days—and that's not all! Take home an additional $200 at 60 days. Stay with us and pocket a total of $400 in bonus rewards!

Join MEDVA as a Prior Authorization Specialist!
Speed up approvals for essential medical procedures and treatments while reducing patient care delays. You'll manage PA requests, coordinate with providers and insurers, and maintain accurate documentation—all in a role that directly impacts patient outcomes. Ready to make a difference? Apply now!

Grow with us in the heart of Metro Manila! This position is an onsite independent contractor role, based in Ortigas CBD, Pasig, right by Ortigas Station MRT.

RESPONSIBILITIES:

• Process prior authorization requests for medical procedures, imaging, medications, and treatments, adhering to payer-specific guidelines and documentation requirements.

• Maintain productivity standards, completing 10–20 medical procedure PAs per day or 20–40 medication PAs per day, depending on case complexity.
• Verify patient insurance coverage and benefits before initiating PA requests to ensure eligibility and compliance.
• Communicate with healthcare providers, patients, and insurance representatives to gather necessary information and expedite approvals.
• Follow up on pending prior authorization requests, proactively addressing denials or additional documentation requests.
• Utilize EMR/EHR systems and payer portals to submit and track authorization statuses.
• Stay updated on payer policies and evolving prior authorization guidelines to ensure compliance and efficiency.
• Document all PA activities accurately in patient records, ensuring seamless coordination between providers and payers.

• Minimum of 1 year of experience supporting U.S.-based healthcare clients in prior authorization, insurance verification, or medical administrative roles.
• Prior experience as a Medical Virtual Assistant with a focus on prior authorizations is highly preferred.
• Strong knowledge of insurance policies, authorization requirements, and payer-specific guidelines.
• Proficiency in medical software, EMR/EHR systems, and payer portals for authorization submissions.
• Excellent attention to detail to ensure accuracy in documentation and compliance with insurance requirements.
• Strong communication skills, with the ability to liaise effectively between healthcare providers, patients, and insurance companies.
• Ability to manage high-volume prior authorizations and adjust to fluctuating workloads.
• Knowledge of medical terminology, coding (ICD-10, CPT), and procedures related to PA processing.
• A degree in an Allied Health profession (preferably licensed) is a plus but not required.
• Willingness to undergo training and stay updated with evolving industry standards.

Exceptional Hourly Rate:

• We offer premium market rates that reflect your expertise and independent contractor status, ensuring you're valued for your specialized skills.

Professional Development & Growth

• Advance your skills through our comprehensive training programs - all fully funded by MEDVA.

Enhanced Collaboration & Growth: 

• Experience face-to-face teamwork and immediate access to on-site resources, fostering innovation and mentorship.