Prior Authorizations Coordinator

Prior Authorizations Coordinator (Remote – Philippines)

Full-Time | Mon–Fri (8:00 AM – 5:00 PM PST)

Compensation:

$4.50/hour (USD)
~$780/month (USD)
~?43,000–?45,000/month (PHP) (based on exchange rate)
About the Role

We are a growing U.S.-based multi-specialty medical group seeking a detail-oriented Prior Authorizations Coordinator to support our clinical operations. This role is critical in ensuring patients receive timely care by securing insurance approvals efficiently and accurately.

The ideal candidate is organized, proactive, and experienced in working with healthcare systems, insurance providers, and high-volume administrative workflows.

Key Responsibilities
Review patient medical records to determine prior authorization requirements
Submit and track authorization requests with insurance companies
Communicate with providers, patients, and payers to gather required documentation
Follow up on pending, delayed, or denied authorizations
Maintain accurate records of approvals, denials, and status updates
Stay updated on payer guidelines, ICD-10 codes, and policy changes
Support workflows related to:
Sleep study authorizations (in-lab & home studies)
Appeals and denial management
Oral appliance referrals
Ensure all processes comply with HIPAA standards
Qualifications

Required:

Prior experience in prior authorizations / medical billing / healthcare admin
Strong understanding of insurance types (Medicare, Medicaid, Commercial)
Excellent English communication (written & verbal)
High attention to detail and organization
Ability to manage multiple requests and deadlines

Preferred:

Experience in a multi-specialty or outpatient setting
Familiarity with EPIC EMR or similar systems
Experience with tools like CoverMyMeds
Work Schedule
Monday – Friday
8:00 AM – 5:00 PM PST (U.S. Time)
What We’re Looking For

We want someone who can:

Work efficiently in a high-volume environment
Resolve issues quickly (missing docs, denials, urgent requests)
Communicate clearly with U.S.-based providers and staff
Take ownership of their workflow and deliver results
Screening Questions (You Will Be Asked)

Be prepared to answer:

Your experience handling prior authorizations end-to-end
Insurance types you’ve worked with
Systems/tools you’ve used (Epic, CoverMyMeds, etc.)
How you handle denials or urgent requests
How you manage workload and deadlines
Examples of communication with providers/patients
Why Join Us
Stable, long-term U.S. healthcare role
Clear systems and structured workflows
Opportunity to grow within a scaling organization