Insurance Verification Specialist

1 month ago

Iloilo, Philippines TMDPH INC Full time

Position Overview:
We are seeking a meticulous and detail-oriented Insurance Verification Specialist to join our healthcare team at TMDPH Inc. The Insurance Verification Specialist plays a critical role in verifying patients' insurance coverage, ensuring accurate billing, and facilitating smooth administrative processes. If you have a strong understanding of insurance verification procedures, excellent communication skills, and a commitment to accuracy, we encourage you to apply for this position.

Key Responsibilities:
Verify patients' insurance coverage and benefits by contacting insurance providers, utilizing online portals, and reviewing insurance documentation.
Accurately record insurance information, policy details, and coverage limitations in electronic health record (EHR) systems.
Confirm patients' eligibility for medical services, procedures, and treatments based on insurance guidelines.
Collaborate with healthcare providers, billing teams, and administrative staff to ensure accurate billing and reimbursement.
Educate patients on their insurance coverage, co-pays, deductibles, and any pre-authorization requirements.
Obtain necessary pre-authorizations for medical procedures and treatments as required by insurance plans.
Assist in resolving insurance-related inquiries and discrepancies, coordinating with insurance companies to address issues.
Maintain patient confidentiality and adhere to ethical standards when handling sensitive insurance information.
Contribute to streamlining insurance verification processes and improving efficiency.
Ensure compliance with privacy laws, and data security guidelines, including Health Insurance Portability and Accountability Act (HIPAA) standards.

Qualifications:
Bachelor’s Degree in any field. Some college education in healthcare administration or related fields is preferred.
Familiarity with using insurance verification software, electronic health record (EHR) systems, and office applications.
Strong understanding of medical billing procedures, insurance plans, and coverage guidelines.
Excellent written and verbal communication skills for effective interactions with patients, insurance representatives, and medical professionals.
Exceptional attention to detail and accuracy in recording insurance information.
Experience:
Minimum of 1 year(s )experience in medical office administration, insurance verification, or a related role.
Undergraduate applicants with a minimum of 1 year experience is also considered for this position
Familiarity with various insurance plans, including Medicare, Medicaid, and private insurers.

Personal Attributes:
Professional and courteous demeanor when interacting with patients and insurance representatives.
Strong organizational skills to manage insurance verification processes efficiently.
Ability to work independently and collaborate within a healthcare team.
Adaptability to evolving insurance regulations and healthcare technologies.
If you are a dedicated Insurance Verification Specialist with a focus on accuracy and efficient insurance processes, we encourage you to apply by submitting your resume along with a cover letter outlining your relevant experience and interest in the position.

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