Verification of Health Insurance Coverage Specialist

2 weeks ago

Porac, Philippines beBeeInsurance Full time ₱900,000 - ₱1,300,000

Job Title: Benefits Verification Specialist
Full Time

Position Overview:

The Benefits Verification Virtual Assistant plays a critical role in supporting healthcare providers, treatment centers, and billing departments by verifying patients' insurance coverage and benefits. This position ensures accurate and timely verification of insurance information to help facilitate smooth admissions, billing, and claims processes.

As a virtual assistant, the VOB specialist will work remotely to contact insurance companies, gather necessary coverage details, document findings, and communicate with relevant internal teams. A strong understanding of medical terminology, insurance procedures, and excellent communication skills are essential for success in this role.

Job Responsibilities:
  1. Verify Patient Insurance Benefits
    • Contact insurance companies by phone or via portals to verify patient coverage and eligibility.
    • Gather detailed information on covered services, copays, deductibles, and prior authorization requirements.
    • Accurately document all benefit details in the EHR or billing system.
  2. Submit Authorization Requests
    • Prepare and submit prior authorization requests, including relevant clinical documentation.
    • Follow up on pending authorizations with insurance carriers to ensure timely approvals.
    • Maintain accurate records of all submitted authorizations.
  3. Track Authorization Expiry and Renewals
    • Monitor and track expiration dates for existing authorizations.
    • Proactively initiate renewal processes prior to expiration to avoid service disruptions.
    • Notify the clinical and administrative teams of any issues or lapses.
  4. Coordinate with Clinical Staff
    • Request and compile necessary clinical documentation for submissions.
    • Communicate with clinicians to ensure all required documents are up to date and compliant
    • Ensure Compliance and Accuracy
    • Maintain confidentiality and comply with HIPAA and internal data protection policies
    • Ensure accurate data entry, documentation, and reporting of insurance verification and authorization status.
Required Skills and Qualifications:
  • At least 2 years of proven experience in medical billing, insurance verification, or healthcare administration required.
  • Strong knowledge of insurance terminology and benefit structures.
  • Excellent verbal and written communication skills.
  • Detail-oriented with the ability to multitask and manage time effectively.
  • Proficient in using spreadsheets, CRM tools, and insurance portals.
Hardware and Software Requirements:
  • Ambient noise cancelling headset is required.
  • Reliable internet connection of at least 50 mbps speed is required.

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