Prior Authorization Specialist / Physician Assistant (Endocrinology)

Employment Type: Full-Time Employment
Work Setup: Onsite onboarding for a two to four weeks, followed by a transition to a remote setup.
Work Schedule: Night Shift (Following U.S. Eastern Time Zone)
Location: Eastwood, Libis, Quezon City
Salary Package: Up to 60,000 PHP/Monthly

About the Client:

The client represents a specialized dental practice focused on endodontics, which is a branch of dentistry dealing with the inside of the tooth—primarily root canal treatment and related procedures.

The Role:

Intelassist is hiring a Prior Authorization Specialist / Physician Assistant to support a U.S.-based endocrinology practice. This role focuses on managing prior authorizations for medications, procedures, and diagnostics to ensure timely patient care.

Role Responsibilities:

• Submit and track prior authorizations for medications and services
• Verify insurance eligibility and coverage requirements
• Follow up with payers to secure approvals and resolve denials
• Coordinate with providers to obtain clinical documentation
• Manage appeals and resubmissions as needed
• Maintain accurate records in EMR/EHR systems

Attributes:

• Preferred - Clinical background (PA, Nurse, or similar)
• Experience in endocrinology or specialty care strongly preferred
• Reliable internet connection and secure remote workspace
• Ability to work consistently during U.S. business hours

Experience:

• Preferred bachelor’s degree holder in Healthcare, Nursing, or related field
• 2+ years of prior authorization, RCM, or medical billing experience
• Required: Experience in endocrinology or specialty care (diabetes, thyroid, hormone therapies, etc.)
• End‑to‑end prior authorization processing
• Insurance eligibility and benefits verification
• Knowledge of U.S. payer guidelines and authorization workflows
• Appeals and denial management
• Clinical documentation coordination
• Accurate EMR/EHR data management
• Strong understanding of endocrinology procedures and medications (diabetes, thyroid, hormone therapy)
• Excellent written and verbal English communication
• Strong attention to detail
• Time management and prioritization skills
• Critical thinking and problem-solving
• Professional communication with providers and payers
• Ability to work independently in a remote environment

WHY INTELASSIST?
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