Case Management Specialist (Prior-Authorization) L-CM at A1M Solutions

Makati, Metro Manila, Philippines

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Not SpecifiedCompensation

Junior (1 to 2 years)Experience Level

Full TimeJob Type

UnknownVisa

Healthcare, BPOIndustries

Requirements

At least 1 year of Healthcare BPO experience
Experience handling and processing Authorization requests
Excellent verbal and written English skills
Willing to work onsite in Makati
Amenable to working night shift

Responsibilities

Process Initial or Pre-Authorization via Phone or via Email
Respond to provider requests
Communicate to insurance providers for authorization determination
Process verification of member benefits
Review Member’s clinical records
Manage healthcare cases

Skills

Prior-Authorization

Case Management

Healthcare BPO

Authorization Processing

Member Benefits Verification

Clinical Records Review

Provider Communication

Insurance Provider Communication

English Verbal Skills

English Written Skills

A1M Solutions

Design and data support for government healthcare

About A1M Solutions

A1M Solutions specializes in providing design, data, and policy-informed support for government healthcare programs, with a focus on serving disadvantaged populations. The company leverages expertise in government healthcare programs, data analysis, and policy/legislation to design effective business strategies and enhance digital service delivery, utilizing agile research and insights to untangle complex problems and generate thoughtful solutions.

Chico, CA, USAHeadquarters

2018Year Founded

VENTURE_UNKNOWNCompany Stage

Consulting, Social ImpactIndustries

11-50Employees