Healthcare Insurance Coverage Validator

1 day ago

Makati City, National Capital Region, Philippines beBeeInsuranceVerification Full time ₱125,000 - ₱150,000
Job Title: Insurance Verification Specialist

This role involves reviewing and verifying patient insurance coverage to ensure accuracy and eligibility for proposed healthcare services.

The successful candidate will be responsible for preparing and submitting comprehensive authorization requests to insurance companies, collaborating with healthcare providers, and monitoring the status of authorization requests.

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.
  • Ensure compliance with healthcare regulations, privacy laws, and insurance company policies.

Requirements:

  • At least 1 year of experience in insurance verification and pre-authorization is highly preferred.
  • Excellent verbal and written communication skills.
  • Strong analytical and problem-solving skills.
  • Strong attention to detail, multi-tasking, communication, and organizational skills are essential.
  • Demonstrated ability to accurately perform data entry and pay close attention to detail.

Benefits:

This role offers a competitive salary, annual salary increases, and a range of benefits including paid medical insurance, paid time off, and an employee referral program.

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