📢 We’re Hiring: Prior Authorization Specialist
ALTRUST Services is looking for detail-oriented and highly organized Prior Authorization Specialists to support healthcare operations for U.S.-based medical providers and healthcare organizations.
This role is responsible for managing prior authorization requests, insurance verification, payer follow-ups, and documentation coordination to help ensure timely approvals and uninterrupted patient care.
You will work closely with healthcare providers, insurance payers, and internal support teams in a structured, office-based healthcare operations environment.
If you are proactive, process-driven, and experienced in U.S. healthcare workflows, we’d love to hear from you.
🎯 Key Responsibilities
Prior Authorization Processing
- Submit and manage prior authorization requests for medications, procedures, imaging, and treatments
- Complete payer forms and portal submissions accurately and efficiently
- Ensure all required clinical documentation is attached and properly submitted
- Track authorization statuses and follow up on pending requests
Insurance Verification & Eligibility
- Verify patient insurance coverage, benefits, and eligibility
- Review payer requirements for authorization approval
- Identify missing information or documentation that may delay approvals
Payer Follow-Up & Communication
- Contact insurance companies regarding authorization status, denials, and additional requirements
- Escalate urgent or delayed cases when necessary
- Document all payer interactions accurately in internal systems
Provider & Patient Coordination
- Coordinate with healthcare providers and clinical staff to obtain supporting documentation
- Communicate authorization updates and outstanding requirements when needed
- Ensure timely processing to avoid treatment delays
Documentation & Record Management
- Maintain accurate and organized authorization records
- Update tracking systems and internal databases consistently
- Ensure compliance with company documentation standards and confidentiality requirements
Workflow & Operational Support
- Assist in improving prior authorization workflows and turnaround times
- Support operational reporting and productivity tracking
- Collaborate with supervisors and QA teams to maintain service quality
✅ Must-Have Qualifications
- At least 1–2 years experience in prior authorization, insurance verification, medical billing, or U.S. healthcare support
- Strong understanding of U.S. healthcare insurance processes and payer workflows
- Excellent English communication skills (written and verbal)
- Strong attention to detail and organizational skills
- Ability to manage multiple cases and deadlines simultaneously
- Experience using EMR/EHR systems, payer portals, or healthcare platforms
- Comfortable working night shift (U.S. time zone)
- Professional communication and problem-solving skills
🌟 Preferred Qualifications
- Experience handling U.S. prior authorization workflows
- Background in healthcare BPO or healthcare operations
- Familiarity with:
- Availity
- CoverMyMeds
- Athenahealth
- Kareo
- Epic
- eClinicalWorks
- Allied health or healthcare-related educational background
- Experience working in office-based healthcare support operations
- Familiarity with HIPAA-conscious workflows and documentation handling
🏢 Work Environment
This is an office-based role under ALTRUST Services’ supervised healthcare operations setup.
Work locations:
- Makati City
- Urdaneta City, Pangasinan
Our teams operate in structured, secure environments designed to support productivity, accountability, collaboration, and operational continuity.
🚀 Why Join ALTRUST Services?
- Structured healthcare operations environment
- Professional and supportive leadership
- Opportunities for long-term growth
- Stable office-based setup
- Collaborative healthcare support culture
- Exposure to U.S. healthcare operations workflows
