03/09/2026
๐ข ๐ช๐โ๐ฅ๐ ๐๐๐ฅ๐๐ก๐: ๐๐๐๐๐๐๐๐๐๐ง๐ฌ & ๐๐จ๐ง๐๐ข๐ฅ๐๐ญ๐๐ง๐๐ข๐ก ๐ฆ๐ฃ๐๐๐๐๐๐๐ฆ๐งโฃ
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Join Clinovation Corp., a healthcare-focused BPO supporting medical and dental practices in the United States.โฃ
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Weโre looking for a detail-oriented Eligibility & Authorization Specialist to handle ๐ถ๐ป๐๐๐ฟ๐ฎ๐ป๐ฐ๐ฒ ๐๐ฒ๐ฟ๐ถ๐ณ๐ถ๐ฐ๐ฎ๐๐ถ๐ผ๐ป ๐ฎ๐ป๐ฑ ๐ฝ๐ฟ๐ถ๐ผ๐ฟ ๐ฎ๐๐๐ต๐ผ๐ฟ๐ถ๐๐ฎ๐๐ถ๐ผ๐ป ๐ฐ๐ผ๐ผ๐ฟ๐ฑ๐ถ๐ป๐ฎ๐๐ถ๐ผ๐ป.โฃ
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๐ POSITION DETAILSโฃ
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Position: ๐๐น๐ถ๐ด๐ถ๐ฏ๐ถ๐น๐ถ๐๐ & ๐๐๐๐ต๐ผ๐ฟ๐ถ๐๐ฎ๐๐ถ๐ผ๐ป ๐ฆ๐ฝ๐ฒ๐ฐ๐ถ๐ฎ๐น๐ถ๐๐โฃ
Work Setup: ๐ฅ๐ฒ๐บ๐ผ๐๐ฒ
Location: ๐๐ฎ๐ด๐ฎ๐๐ฎ๐ป ๐ฑ๐ฒ ๐ข๐ฟ๐ผ ๐๐ถ๐๐ / ๐ก๐ฒ๐ฎ๐ฟ๐ฏ๐ ๐๐ฟ๐ฒ๐ฎ๐
Employment: ๐๐๐น๐น-๐๐ถ๐บ๐ฒโฃ
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๐ผ ๐ช๐๐๐ง ๐ฌ๐ข๐จโ๐๐ ๐๐ขโฃ
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โข Verify patient insurance eligibility and benefitsโฃ
โข Confirm coverage, deductibles, co-pays, co-insurance, and out-of-pocket requirementsโฃ
โข Identify coverage limitations, exclusions, and potential issuesโฃ
โข Contact insurance payers through phone and online portalsโฃ
โข Determine prior authorization requirementsโฃ
โข Submit authorization requests and supporting clinical documentationโฃ
โข Monitor authorization status, approvals, denials, and additional requirementsโฃ
โข Follow up with payers to ensure timely processingโฃ
โข Maintain accurate patient and insurance recordsโฃ
โข Coordinate with healthcare providers and internal teamsโฃ
โข Handle patient information in accordance with HIPAA and company policiesโฃ
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๐ช๐๐๐ง ๐ช๐โ๐ฅ๐ ๐๐ข๐ข๐๐๐ก๐ ๐๐ข๐ฅโฃ
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At least 1 year of experience in insurance verification, benefits verification, or prior authorizationโฃ
โข ๐๐
๐ฝ๐ฒ๐ฟ๐ถ๐ฒ๐ป๐ฐ๐ฒ ๐๐ถ๐๐ต ๐จ.๐ฆ. ๐ต๐ฒ๐ฎ๐น๐๐ต๐ฐ๐ฎ๐ฟ๐ฒ ๐ถ๐ป๐๐๐ฟ๐ฎ๐ป๐ฐ๐ฒ ๐ถ๐ ๐๐๐ฟ๐ผ๐ป๐ด๐น๐ ๐ฟ๐ฒ๐พ๐๐ถ๐ฟ๐ฒ๐ฑโฃ
โข Good understanding of insurance benefits and payer requirementsโฃ
โข Strong attention to detail and organizational skillsโฃ
โข Excellent written and verbal communicationโฃ
โข Ability to manage multiple time-sensitive requests accuratelyโฃ
โข Experience with EHR/EMR systems, insurance portals, and payer websitesโฃ
โข Proficiency in Google Workspace, especially Google Sheetsโฃ
โข Comfortable working with spreadsheets, formulas, and dataโฃ
โข Pivot tables and data analysis experience is an advantageโฃ
โข Willingness to work on-site in Cagayan de Oro Cityโฃ
๐ ๐ฅ๐๐ ๐ข๐ง๐ ๐ช๐ข๐ฅ๐ ๐ฅ๐๐ค๐จ๐๐ฅ๐๐ ๐๐ก๐ง๐ฆโฃ
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โข Must be based in ๐๐ฎ๐ด๐ฎ๐๐ฎ๐ป ๐ฑ๐ฒ ๐ข๐ฟ๐ผ ๐๐ถ๐๐ ๐ผ๐ฟ ๐ป๐ฒ๐ฎ๐ฟ๐ฏ๐ ๐ฎ๐ฟ๐ฒ๐ฎ๐โฃ
โข Must have a ๐๐๐ฎ๐ฏ๐น๐ฒ ๐ฎ๐ป๐ฑ ๐ฟ๐ฒ๐น๐ถ๐ฎ๐ฏ๐น๐ฒ ๐ถ๐ป๐๐ฒ๐ฟ๐ป๐ฒ๐ ๐ฐ๐ผ๐ป๐ป๐ฒ๐ฐ๐๐ถ๐ผ๐ปโฃ
โข Must have a suitable ๐ต๐ผ๐บ๐ฒ ๐๐ผ๐ฟ๐ธ๐๐ฝ๐ฎ๐ฐ๐ฒ ๐ณ๐ผ๐ฟ ๐ฟ๐ฒ๐บ๐ผ๐๐ฒ ๐๐ผ๐ฟ๐ธ
โข Must be ๐๐ถ๐น๐น๐ถ๐ป๐ด ๐ฎ๐ป๐ฑ ๐ฎ๐ฏ๐น๐ฒ ๐๐ผ ๐ฟ๐ฒ๐ฝ๐ผ๐ฟ๐ ๐ผ๐ป-๐๐ถ๐๐ฒ when requested by the company
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๐ ๐๐๐จ๐๐๐ง๐๐ข๐กโฃ
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โข High school diploma or equivalent requiredโฃ
โข College degree, healthcare-related education, or relevant certification is an advantageโฃ
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๐ WHY JOIN CLINOVATION CORP.?โฃ
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โข Healthcare-focused BPO environmentโฃ
โข Training and professional development opportunitiesโฃ
โข Career growth opportunitiesโฃ
โข Competitive compensation and benefitsโฃ
โข Work with U.S. healthcare professionals and practicesโฃ
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๐ฉ Interested? Apply now!โฃ
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https://forms.gle/SXWVSXT8yz9h5TMj6