Quezon City Jobs Verification And Authorization Specialist (work From Home | Ais) Position at Sourcefit Philippines, Inc.
- Job vacancies posted on: 9 months ago
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We are hiring for the position of Verification and Authorization Specialist (Work from Home | AIS) with full time working hours for our company office, Sourcefit Philippines, Inc., for residents of Quezon City and its neighboring areas.
Candidates with expertise in Healthcare & Practitioner/Medical Asst and at least a Not Specified or higher are highly needed. The candidates criteria we are looking for must be trustworthy and disciplined, because our business values a professional and competitive work environment.
Our company provides a competitive salary range of ₱16,000 - ₱38,000, which can be adjusted at the discretion of HRD in our company. This range naturally varies depending on how proficient the candidate credibility can be offered.
We are pleased to announce that our company, Sourcefit Philippines, Inc., is currently open recruitment for candidates who are interested in joining our office company as a Verification and Authorization Specialist (Work from Home | AIS).
Job Info
| Company | Sourcefit Philippines, Inc. |
| Position | Verification And Authorization Specialist (work From Home | Ais) |
| Region | Quezon City |
| Career Level | 1-4 Years Experienced Employee |
| Work Experience | 3 years |
| Qualification | Not Specified |
| Type of Work | Full-Time |
| Minimum Salary | PHP 16.000 |
| Maximum Salary | PHP 38.000 |
Position Summary:
We are seeking an experienced, motivated, and diligent Benefit Verification and Authorization Specialist to join our dynamic team. The successful candidate will play a critical role in our healthcare delivery processes, ensuring compliance with Federal and State regulations and policies regarding benefit verification and authorization. The position requires outstanding communication skills, thorough knowledge of collection practices, and the ability to apply effective judgment in complex situations.
What’s in it for you?
• Health Insurance (HMO)
• Competitive Salary
• Expanded maternity leave up to 120 days
• Allowances
• Paid Time offs (Vacation Leaves Are Convertible to cash if unused)
• Companywide events
• Fun & Relaxed environment
Job Details:
Verification and Authorization Specialist
Work from home
Monday to Friday | 9 PM to 6 AM (Manila Time)
Responsibilities:
• Gain and maintain a thorough understanding of patient insurance eligibility and benefits across a wide range of payers, including but not limited to: Aetna, Cigna, BCBS, Humana, Worker’s Comp, Medicare, and Medicaid.
• Demonstrate specific knowledge of Authorization processes related to GAPs, Pre-determinations, PCP Referrals, and Single Case Agreements.
• Enter insurance and authorization information into EHR systems accurately and in detail, following Standard Operation Procedures.
• Follow up on pending or expired authorizations and referrals as assigned.
• Review authorization denials for accuracy and initiate the appeal process until the case is resolved, appeal options are exhausted, or the decision is made to discontinue the process.
• Document all call details per the Standard Operation Procedures of the department.
• Timely follow up and response to all Quality Reviews.
• Respect patients’ rights and responsibilities in the performance of job duties, maintaining patient privacy and confidentiality.
• Strict adherence to all HIPAA guidelines/regulations.
• Maintain a working understanding of NDC (National Drug Code) numbers, metric quantities, and infusion supplies.
• Continuously build a broad knowledge of insurance plans, medical terminology, billing procedures, government regulations, and medical codes.
• Share knowledge with other staff members and work effectively as a team member.
• Interact with others in a positive, respectful, and considerate manner.
• Perform other job-related duties as assigned.
Qualifications:
• A high school diploma or general education degree (GED) equivalent.
• A minimum of 3-5 years of healthcare industry experience, with at least 3 years in intake/verification roles.
• Home Infusion experience, or hospital or chemotherapy experience is required.
• Proven experience in calculating drug units.
• Intrathecal Pain Management experience is a plus.
• Strong math skills.
• Ability to recognize, evaluate, and apply good judgment in solving complex situations in accordance with laws and regulations.
• Excellent verbal and written communication skills with the ability to build relationships, negotiate, and work with a variety of internal and external stakeholders.
• High level of integrity and credibility, with a strong work ethic.
• Self-directed, detail-oriented, conscientious, organized, with the ability to follow through.
• Proficient in handling problems involving multiple variables in an organized manner within the position’s scope.
• Proficiency in Microsoft Office, including Outlook, Word, and Excel.
Office/Company Address
| Country | Philippines |
| Region | National Capital Region |
| City | Quezon City |
| Address | Sourcefit: Custom Offshore Staffing Solutions, CyberOne, 21st Floor, Eastwood Cyberpark, Bagumbayan, Quezon City, 1110 Metro Manila, Filipina |
| Map | Google Map |
Benefit
- Get work experience
- Bonus for overtime
- Be taught first
- Good work environment
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Company Description
Sourcefit is a fast-growing and dynamic BPO company committed to providing the highest level of service and expertise to our global clients, while also promoting a healthy and fulfilling work-life balance for our employees and endeavoring to give back to our community and protect our environment. We currently offer BPO services to a wide range of international companies in the IT, Direct Marketing, Banking, Hospitality, Retail, Telecom, Transport & Logistics, Accounting & Finance, Construction, Mining, Travel, Marketing & Advertising, and Journalism industries.
We are headquartered in Eastwood Cyberpark, a major BPO and technology center in Greater Manila, and maintain infrastructure to support the security and productivity of remote workers all across the country.
Join the Sourcefit team for career growth and personal development! Visit our Recruitment office from Monday to Friday, 9am to 5pm with your resume and valid ID or begin the application process online at our website ww.sourcefit.com.
Company Info
- Industry: Call Center/IT-Enabled Services/BPO
- Registration No.: S200804419
- Company Size: 501 - 1000 Employees
- Average Processing Time: 22 days
- Benefits & Others: Dental, Miscellaneous allowance, Medical, Loans, Regular hours, Mondays - Fridays, Casual (e.g. T-shirts)
- Specific Location: Eastwood Libis, QC
