Insurance Pre-Certification Specialist

2 weeks ago

Manila, National Capital Region, Philippines Emapta Full time

Prescription for Success: Benefits, Beyond Borders, and Bold Career Growth

Step into a career where your expertise in insurance pre-certification becomes your passport to global impact within the dynamic realm of medical practice. Embrace a role that transcends borders, offering you the opportunity to navigate intricate insurance landscapes and ensure seamless patient care pathways, all from the comfort of your home base. As an Insurance Pre-Certification Specialist, you'll pioneer precision in healthcare access, securing approvals for crucial procedures with insurers like Blue Cross, Blue Shield, and United Health Care. This role not only promises exposure to cutting-edge medical advancements but also fosters career growth in a supportive, innovative environment. Join us in advancing cardiovascular and vein treatments at the forefront of medical innovation, where every day brings new challenges and opportunities to excel.

Shifting Gears: Your Essential Role in Medical Precision

Employment type: Full time
Shift: Mon - Fri 08:00 PM to 05:00 AM (8am-5pm US Central Time)
Work setup: Onsite, Makati/Ortigas

Insurance Navigation Specialist: Charting Clear Paths to Patient Care

Handle precertifications primarily, managing regular calls with commercial insurance companies for approvals and denials.Obtain approvals predominantly for ultrasound, heart angiogram, and other procedures, liaising with carriers such as Blue Cross, Blue Shield, United Health Care.Gather additional patient information for denials to facilitate approval.Schedule hospital procedures like heart angiograms or peripheral angiograms, ensuring pre-certification precedes scheduling.Serve as a liaison between doctors and hospitals to coordinate patient care effectively.Vital Skills Check: Essentials for ExcellenceMid-level experience in a related field.Proficiency in using electronic health records (EHR) systems and other healthcare software.Strong understanding of medical terminology and coding.Excellent attention to detail and accuracy in data entry.Ability to prioritize tasks and work efficiently in a fast-paced environment.Effective communication skills and ability to collaborate with multidisciplinary teams.Familiarity with HIPAA regulations and commitment to maintaining patient confidentiality.Strong problem-solving skills and ability to adapt to changing priorities.Can start ASAP.Healthcare Rewards: Covering Your Career Needs and BeyondDay 1 HMO coveragePrime office locations (With free unlimited access to the gym: Ortigas and Makati)Great work cultureDirect exposure to international clients and cutting-edge technologiesStandard government and Emapta benefitsCareer growth opportunitiesDiverse and supportive work environmentFun employee engagement activitiesHeart of Innovation: Joining Leaders in Cardiovascular Excellence

Our client, Global Care SC dba Illinois Cardiovascular Specialists, stands as a distinguished cardiologist and vein treatment center based in Crystal Lake and Barrington, IL. They specialize in providing advanced cardiovascular care and innovative treatments for vein conditions, accredited by the Intersocietal Accreditation Commission (IAC) for their commitment to maintaining high standards of care. With a focus on patient-centric approaches and leveraging cutting-edge diagnostic technologies, our client ensures accurate diagnoses and effective treatment options for heart and vascular diseases. They are renowned for their compassionate care and dedication to advancing medical knowledge through community education and continuous medical advancements.

Welcome to Emapta Philippines

Discover a world of possibilities at Emapta, where your career takes flight in stability and growth. Join a team that thrives on camaraderie, supporting each other to achieve excellence together. Experience the satisfaction of being recognized for your contributions with competitive compensation packages that reflect your skills and commitment. Immerse yourself in a positive work culture that encourages collaboration, innovation, and personal development. We provide you with the platform for your success, empowering you to reach new heights in a supportive and inclusive environment.

With a wide roster of international clients from various industries and a proven track record of success, Emapta offers a stable foundation for your career. Team up with like-minded professionals who are passionate about making a meaningful impact through premium global opportunities at your fingertips. Apply now and create a better future with us.

#EmaptaExperience

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