Senior Data Services Associate
RemotePhilippines
Job Summary
Request and track preauthorizations for insurance-eligible orders in alignment with payer requirements, uploading authorization details into the order processing platform and attaching documentation to the correct order and patient record. Update order status to continue processing upon approval or cancel appropriately if authorization is denied or not obtained, while validating active insurance status at final API check prior to order progression. Process inbound faxes related to authorization documentation and ensure proper system attachment. Conduct outreach to customers when insurance coverage is nearing expiration, meet or exceed daily production targets while maintaining high documentation accuracy, and minimize downstream rework by ensuring clean data entry and complete documentation. Escalate payer-related discrepancies, missing documentation, or API mismatches to the appropriate team lead. Collaborate with internal teams to support workflow continuity and optimize processes, completing cross-training and assisting other teams as needed.
Required Qualifications
- 2 years of experience in insurance authorizations, insurance verification, healthcare operations, revenue cycle, or high-volume data processing roles
- Experience requesting and tracking insurance preauthorizations across multiple payer portals and communication channels
- Strong working knowledge of documentation requirements for payer submissions
- Proven ability to manage production-based performance expectations and daily output targets
- Highly accurate data entry skills with minimal documentation errors
- Experience working within structured order management or case management systems
- Strong written and verbal communication skills
- Ability to work autonomously while collaborating with cross-functional teams
Desired Qualifications
- Enthusiastic about working in an AI-forward environment where AI tools are part of daily operations
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