Senior Insurance Authorization Specialist

2 days ago

Province of Palawan, Mimaropa, Philippines beBeeInsurance Full time ₱7,500 - ₱13,500
Insurance Verification Specialist RoleWe are seeking a meticulous Insurance Specialist to join our team in various support activities within the insurance and authorization department. This role will involve collaborating with customers and creating policies, processes, and documents.Responsibilities:
  • Verify patient insurance coverage, ensuring accuracy and eligibility for proposed healthcare services.
  • Prepare and submit comprehensive authorization requests to insurance companies with all required documentation.
  • Collaborate with healthcare providers to gather relevant clinical information and facilitate the prior authorization process.
  • Monitor the status of authorization requests, follow up with insurance companies, and maintain detailed records of communications.
  • Investigate and address insurance denials, resubmitting requests and appealing denials when necessary.
  • Communicate with patients to explain the prior authorization process, potential delays, and any financial responsibilities.
Requirements:
  • 1 to 3 years of experience in insurance verification and pre-authorization required.
  • Able to work from 8am to 5pm EST.
  • Able to handle sensitive information with confidentiality.
  • Able to work in a fast-paced environment.
  • Excellent verbal and written communication skills.
  • Strong analytical and problem-solving skills.
  • Strong attention to detail, multi-tasking, communication, and organizational skills essential.
Benefits:
  • Paid medical insurance/HMO right from the first day.
  • Up to 15 days of paid time off, monthly short leaves, marriage leaves, and additional unpaid vacation leaves.
  • Earn as much as PHP 13,500 from the employee referral program.
  • Annual salary increases with a predictable percentage increase based on performance review.
  • Annual year-end bonus and monthly bonuses based on performance.

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