Healthcare Insurance Eligibility Specialist

1 day ago


Mandaluyong City, National Capital Region, Philippines beBeeInsuranceCoverage Full time ₱10,000 - ₱13,500
Job Overview

We are seeking a seasoned Insurance Coverage Specialist to ensure accurate patient insurance verification and eligibility for proposed healthcare services.

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.
Requirements:
  • 1-3 years of experience in insurance verification and pre-authorization.
  • Able to work from 8am to 5pm EST.
  • Confidentiality in handling sensitive information.
  • Excellent verbal and written communication skills.
  • Strong analytical and problem-solving skills.


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