job description
Join Limitlessli as an Authorization Specialist in Managed Care and play a pivotal role in ensuring seamless healthcare access for patients. Based in the vibrant communities of Bali (Canggu, Ubud, Denpasar, and more), you’ll work remotely while collaborating with a global team to verify, process, and authorize medical services in compliance with managed care policies.
This role is perfect for detail-oriented professionals with a passion for healthcare administration. You’ll act as the bridge between patients, providers, and insurance companies, ensuring timely and accurate authorizations that facilitate high-quality care. With a competitive salary range of ₱40,000 – ₱50,000 per month, this is your chance to grow in a dynamic, patient-centered environment.
At Limitlessli, we value precision, empathy, and efficiency. If you thrive in a structured yet fast-paced setting and want to make a tangible impact in healthcare, we’d love to hear from you.
Responsibility
- Review and process authorization requests for medical services, procedures, and treatments in accordance with managed care guidelines.
- Verify patient eligibility, benefits, and coverage details to ensure compliance with insurance policies.
- Collaborate with healthcare providers, insurance companies, and internal teams to obtain necessary approvals and documentation.
- Maintain accurate and up-to-date records of all authorization activities in electronic health record (EHR) systems.
- Resolve discrepancies or denials by investigating root causes and coordinating with stakeholders for timely resolutions.
- Educate patients and providers on authorization requirements, policies, and procedures to streamline the process.
- Monitor and track pending authorizations, following up proactively to avoid delays in patient care.
- Stay current with changes in healthcare regulations, insurance policies, and managed care protocols.
Qualifications
- Bachelor’s degree in Healthcare Administration, Nursing, Business, or a related field (or equivalent experience).
- Minimum 2 years of experience in healthcare authorization, utilization review, or a similar role in managed care.
- Strong knowledge of medical terminology, coding (ICD-10, CPT), and insurance verification processes.
- Proficiency in using EHR/EMR systems and Microsoft Office Suite (Excel, Word, Outlook).
- Excellent communication, organizational, and problem-solving skills with a keen eye for detail.
- Ability to work independently in a remote setting while meeting deadlines in a high-volume environment.
- Familiarity with HIPAA regulations and commitment to patient confidentiality.
- Prior experience in a global or multicultural team is a plus.