Healthcare Insurance Verification Specialist

1 day ago


Davao City, Davao, Philippines beBeeAnalytical Full time ₱13,500
Job Title

This role involves verifying patient insurance coverage, ensuring accuracy and eligibility for proposed healthcare services.

The ideal candidate will possess 1-3 years of experience in insurance verification and pre-authorization, exceptional verbal and written communication skills, strong analytical and problem-solving abilities, and the capacity to work in a fast-paced environment.

Key Responsibilities
  • Verify patient insurance coverage and ensure 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.
Essential Skills and Qualifications
  • 1-3 years of experience in insurance verification and pre-authorization.
  • Exceptional verbal and written communication skills.
  • Strong analytical and problem-solving abilities.
  • Capacity to work in a fast-paced environment.
Benefits and Opportunities

This role offers the opportunity to make a meaningful contribution to the healthcare industry while developing valuable skills and expertise.



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