Insurance Verification Support Specialist
16 hours ago
Position Overview: Insurance Verification Support Specialist-Enterprise is responsible for verifying insurance coverages, obtaining initial Preauthorization’s and ensuring accurate data collection and entry for assigned locations. The IV Support Specialist will use their knowledge to help drive the streamlining of processes and delivering efficient insurance verification services. Responsibilities: Maintains current knowledge of patient scheduling, registration/intake processes and systems, medical necessity review, insurance eligibility verification and authorization, and billing models. Performs insurance verification process and completes it with thorough documentation of benefits, patient information and patient responsibility based on insurance contracts. Enters complete and accurate information into computer system, such as on verification button, in comments, in registration module, etc., so that mistakes are avoided, claims are clean and all information is available to all appropriate personnel. Verifies that procedures scheduled are procedures covered when performed in an ASC by the payer. Uses all calculators available such as Medicare, workers compensation, out of network, etc., accurately. Calculates allowable as directed by management for all cases. Effective critical thinking, problem solving and decision-making skills. Flexible work style, tactful, poised, and patient. Ability to handle a heavy workload, multiple requests, interruptions, and short deadlines in a positive manner, establishing priorities for effective work completion. Adapts quickly to changing conditions, assimilating new processes into job functions and taking ownership. Other duties as assigned. Requirements: 2-5 years of verification, authorization or scheduling experience. Ambulatory Surgery Center experience is highly preferred. Working knowledge of how to access benefits from various sources such as phone, person, websites. Ability to interpret benefits in order to convey to patient and to calculate allowable/patient responsibility amounts. Sound judgment and strong skills with respect to interpersonal relations, critical thinking, problem solving and analysis. The ability to communicate effectively, both verbally and in writing, with internal and external clients. Be able to multi-task and handle competing priorities while meeting or exceeding deadlines. Ability to work independently and as a member of the team. Knowledge or experience working with a variety of health care insurance payers is preferred. Proficient in Microsoft Office including Excel and Outlook. Advantx, gMed, HST, Waystar experience preferred. High School Diploma or equivalent. #J-18808-Ljbffr
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Medical Insurance Verification Specialist
3 weeks ago
Quezon City, Philippines MicroSourcing Full timeMedical Insurance Verification Specialist (Spanish Bilingual) Site: 1880 Building, Eastwood, Libis, Quezon City. Work set-up: Onsite and Nightshift. Overview Position title: Medical Insurance Verification Specialist (Spanish Bilingual). Job Summary The Patient Account Representative II performs intermediate insurance verification and authorization...
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Insurance Verification Specialist
5 days ago
Iloilo City, Western Visayas, Philippines Boji Medical Billing Full time ₱360,000 - ₱432,000 per yearInsurance Verification Specialist (BPO) — Dental ServicesRemote — Philippines Full-Time, Individual ContributorJob SummaryHenry Schein One is seeking a detail-oriented Insurance Verification Specialist to joinour remote Business Process Outsourcing (BPO) team in the Philippines. You will contactU.S. dental insurance payers via phone to obtain accurate...
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Medical Insurance Verification Specialist
1 week ago
Paranaque City, Calabarzon, Philippines BruntWork Full time ₱250,000 - ₱500,000 per yearThis is a remote position.Are you an experienced professional in medical insurance verification who thrives in a fast-paced healthcare environment? We're looking for a dedicated Insurance Verification Specialist to join our team and play a critical role in supporting patient care. In this role, you'll be the go-to expert for verifying patient eligibility and...
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Verification Specialist
2 weeks ago
Quezon City, Philippines Viventis Search Asia Full timeOverview The Verifications Specialist plays a vital role in supporting the organization by ensuring inventory levels are addressed daily through diligent and effective lead closure. This role involves handling data entry responsibilities across multiple units and being cross-trained in various processes, enabling flexibility to support evolving business...
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Verification Specialist
1 week ago
Angeles City, Central Luzon, Philippines SuperStaff Full time ₱400,000 - ₱600,000 per yearPosition SummaryThe Verification Specialist ensures the accuracy of patient demographic and insurance information to support efficient and compliant physical therapy services. This role involves regular communication with internal teams and patients, verifying insurance benefits, and ensuring HIPAA compliance. The position is key to maintaining smooth...
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Verification Specialist
1 week ago
Angeles City, Central Luzon, Philippines SuperStaff Full time ₱300,000 - ₱450,000 per yearPosition SummaryThe Verification Specialist ensures the accuracy of patient demographic and insurance information to support efficient and compliant physical therapy services. This role involves regular communication with internal teams and patients, verifying insurance benefits, and ensuring HIPAA compliance. The position is key to maintaining smooth...
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Verification Specialist
1 week ago
Makati City, National Capital Region, Philippines SuperStaff Full time ₱350,000 - ₱600,000 per yearPosition SummaryThe Verification Specialist ensures the accuracy of patient demographic and insurance information to support efficient and compliant physical therapy services. This role involves regular communication with internal teams and patients, verifying insurance benefits, and ensuring HIPAA compliance. The position is key to maintaining smooth...
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Iloilo City, Philippines HR Spectacles Full timeAre you an experienced Insurance Verification Specialist with a knack for leadership and process optimization? Join our growing team as a BPO Team Leader and play a key role in ensuring accurate and timely verification of patient insurance details for our US-based healthcare clients. Lead a high-performing team, drive operational excellence, and help...
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Eligibility and Verifications Specialist
4 weeks ago
Cebu City, Philippines CallTek Full timeOverview Summary: An Eligibility and Verifications Specialist's main responsibilities include verifying insurance coverage, estimating patient cost-sharing responsibilities, and determining the coverage of specific services, devices, and treatment modalities under patients' insurance plans. Your expertise will ensure accurate billing, streamline...
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Eligibility and Verifications Specialist
4 weeks ago
Cebu City, Philippines Staff4Me Full timeSummary: An Eligibility and Verifications Specialist’s main responsibility is verifying insurance coverage, estimating patient cost-sharing responsibilities, and determining the coverage of specific services, devices, and treatment modalities under patients' insurance plans. Your expertise will ensure accurate billing, streamline administrative processes,...
