PHRN- Prior Authorization Admin Support

Gratitude Inc

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3 weeks ago

PHRN- Prior Authorization Admin Support

2-8 Year(s)

25 - 60 Thousand p.m

Manila (Taguig)

Job Description

Key Skills

Office Administration Clinical Authorization PHRN or USRN

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Job title: Prior Authorization Admin Support

Work set up: Onsite in BGC Taguig

Work shift: Night shift

Budget: 25K - 40K package (2-4 yrs experience), 40K - 60K package (4-6 yrs)

Headcount: 5

Job Description:

The Prior Authorization Admin Support RN will assist with the end-to-end coordination and submission of prior authorization requests. This includes gathering patient information, verifying insurance coverage, entering data into payer portals, and ensuring proper documentation is submitted alongside requests.

Key Responsibilities:

 Gather clinical and insurance documentation required for prior auth submissions

 Verify patient eligibility and benefits via payer websites or calls

 Input data into forms and maintain case records in client systems

 Track request status and communicate updates to nursing and provider teams

Qualifications:

 Active Philippine RN license

 with BPO, healthcare operations, or prior auth experience

 Strong data entry, system navigation, and attention to detail

 Comfortable with repetitive workflows and client-specific systems

 Immediate joiners

 Must not be a former or current employee of the client

 No active application with TCS

 Can work onsite in BGC Taguig

Role

Office Management

Timings

Night Shift (Permanent)

Industry

Medical / Healthcare / Hospital

Work Mode

Work from office

Functional Area

Front Office Support / Administration /

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