Customer Service Representative (Prior Authorization) | Hybrid | Night Shift
Salary undisclosed
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Why join MicroSourcing?
You'll Have
As a Customer Service Representative (PAR), You Will
Non-negotiables
With over 9,000 professionals across 13 delivery centers, MicroSourcing is the pioneer and largest offshore provider of managed services in the Philippines.
Our commitment to 100% YOU
MicroSourcing firmly believes that our company's strength lies in our people's diversity and talent. We are proud to foster an inclusive culture that embraces individuals of all races, genders, ethnicities, abilities, and backgrounds. We provide space for everyone, embracing different perspectives, and making room for opportunities for each individual to thrive.
At MicroSourcing, equality is not merely a slogan - it's our commitment. Our way of life. Here, we don't just accept your unique authentic self - we celebrate it, valuing every individual's contribution to our collective success and growth. Join us in celebrating YOU and your 100%!
For more information, visit https://www.microsourcing.com/
You'll Have
- Competitive Rewards: Enjoy above-market compensation, healthcare coverage on day one, plus one or more dependents, paid time-off with cash conversion, group life insurance, and performance bonuses
- A Collaborative Spirit: Contribute to a positive and engaging work environment by participating in company-sponsored events and activities.
- Work-Life Harmony: Enjoy the balance between work and life that suits you with flexible work arrangements.
- Career Growth: Take advantage of opportunities for continuous learning and career advancement.
- Inclusive Teamwork: Be part of a team that celebrates diversity and fosters an inclusive culture.
As a Customer Service Representative (PAR), You Will
- Check the Prior Authorization Request (PAR) status in the portal, if available, before initiating contact with the Insurance Prior Authorization (PAR) department.
- Open sales orders and thoroughly examine the case details.
- Check workflow notes to understand the specific follow-up requirements.
- Utilize the PAR Follow-up Note Template in the Workflow notes when calling the insurance to follow up on prior authorizations.
- Liaise with insurance representatives to obtain determination status.
- Engage with insurance representatives to obtain and confirm PAR status, ensuring accuracy and completeness of information.
- Confirm relevant codes and inquire about turnaround times (TAT).
- Retrieve pending authorization numbers or ascertain if additional paperwork is required.
- Request fax backs for determination letters.
- Conduct continuous follow-ups with insurance until the paperwork is received.
- Create floating tasks to notify Prior Authorization Specialists of determinations or feedback.
- Coordinate with Prior Authorization Specialists if unable to reach insurance after 1 or 2 attempts.
- Seek alternate contact numbers, as the listed numbers may not always be accurate.
- Be prepared to answer questions about the call, document details, and faxing specifics.
- Follow PAR Submitted, PAR Follow-up, and PAR Received note templates for accurate documentation in the workflow notes.
- Document the PAR status in the workflow by adhering to the PAR Submitted, PAR Follow-up, and PAR Received note templates in Workflow notes.
- Navigate and use workflow tools effectively to streamline and document the prior authorization process.
Non-negotiables
- Has excellent communication skills
- Has 1-2 Years of healthcare experience
- Has critical thinking skills
- Open for Fresh Graduate or College Undergraduate
With over 9,000 professionals across 13 delivery centers, MicroSourcing is the pioneer and largest offshore provider of managed services in the Philippines.
Our commitment to 100% YOU
MicroSourcing firmly believes that our company's strength lies in our people's diversity and talent. We are proud to foster an inclusive culture that embraces individuals of all races, genders, ethnicities, abilities, and backgrounds. We provide space for everyone, embracing different perspectives, and making room for opportunities for each individual to thrive.
At MicroSourcing, equality is not merely a slogan - it's our commitment. Our way of life. Here, we don't just accept your unique authentic self - we celebrate it, valuing every individual's contribution to our collective success and growth. Join us in celebrating YOU and your 100%!
For more information, visit https://www.microsourcing.com/
- Terms & conditions apply
Why join MicroSourcing?
You'll Have
As a Customer Service Representative (PAR), You Will
Non-negotiables
With over 9,000 professionals across 13 delivery centers, MicroSourcing is the pioneer and largest offshore provider of managed services in the Philippines.
Our commitment to 100% YOU
MicroSourcing firmly believes that our company's strength lies in our people's diversity and talent. We are proud to foster an inclusive culture that embraces individuals of all races, genders, ethnicities, abilities, and backgrounds. We provide space for everyone, embracing different perspectives, and making room for opportunities for each individual to thrive.
At MicroSourcing, equality is not merely a slogan - it's our commitment. Our way of life. Here, we don't just accept your unique authentic self - we celebrate it, valuing every individual's contribution to our collective success and growth. Join us in celebrating YOU and your 100%!
For more information, visit https://www.microsourcing.com/
You'll Have
- Competitive Rewards: Enjoy above-market compensation, healthcare coverage on day one, plus one or more dependents, paid time-off with cash conversion, group life insurance, and performance bonuses
- A Collaborative Spirit: Contribute to a positive and engaging work environment by participating in company-sponsored events and activities.
- Work-Life Harmony: Enjoy the balance between work and life that suits you with flexible work arrangements.
- Career Growth: Take advantage of opportunities for continuous learning and career advancement.
- Inclusive Teamwork: Be part of a team that celebrates diversity and fosters an inclusive culture.
As a Customer Service Representative (PAR), You Will
- Check the Prior Authorization Request (PAR) status in the portal, if available, before initiating contact with the Insurance Prior Authorization (PAR) department.
- Open sales orders and thoroughly examine the case details.
- Check workflow notes to understand the specific follow-up requirements.
- Utilize the PAR Follow-up Note Template in the Workflow notes when calling the insurance to follow up on prior authorizations.
- Liaise with insurance representatives to obtain determination status.
- Engage with insurance representatives to obtain and confirm PAR status, ensuring accuracy and completeness of information.
- Confirm relevant codes and inquire about turnaround times (TAT).
- Retrieve pending authorization numbers or ascertain if additional paperwork is required.
- Request fax backs for determination letters.
- Conduct continuous follow-ups with insurance until the paperwork is received.
- Create floating tasks to notify Prior Authorization Specialists of determinations or feedback.
- Coordinate with Prior Authorization Specialists if unable to reach insurance after 1 or 2 attempts.
- Seek alternate contact numbers, as the listed numbers may not always be accurate.
- Be prepared to answer questions about the call, document details, and faxing specifics.
- Follow PAR Submitted, PAR Follow-up, and PAR Received note templates for accurate documentation in the workflow notes.
- Document the PAR status in the workflow by adhering to the PAR Submitted, PAR Follow-up, and PAR Received note templates in Workflow notes.
- Navigate and use workflow tools effectively to streamline and document the prior authorization process.
Non-negotiables
- Has excellent communication skills
- Has 1-2 Years of healthcare experience
- Has critical thinking skills
- Open for Fresh Graduate or College Undergraduate
With over 9,000 professionals across 13 delivery centers, MicroSourcing is the pioneer and largest offshore provider of managed services in the Philippines.
Our commitment to 100% YOU
MicroSourcing firmly believes that our company's strength lies in our people's diversity and talent. We are proud to foster an inclusive culture that embraces individuals of all races, genders, ethnicities, abilities, and backgrounds. We provide space for everyone, embracing different perspectives, and making room for opportunities for each individual to thrive.
At MicroSourcing, equality is not merely a slogan - it's our commitment. Our way of life. Here, we don't just accept your unique authentic self - we celebrate it, valuing every individual's contribution to our collective success and growth. Join us in celebrating YOU and your 100%!
For more information, visit https://www.microsourcing.com/
- Terms & conditions apply