
Healthcare Insurance Claims Examiner
8 hours ago
About the Role
We are seeking a highly organized and detail-oriented Insurance Verification Specialist to join our team. The ideal candidate will have experience in insurance verification and pre-authorization, as well as excellent communication and analytical skills.
The selected candidate will be responsible for verifying patient insurance coverage, preparing and submitting authorization requests, collaborating with healthcare providers, and monitoring the status of authorization requests.
- 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.
Requirements:
- 1 to 3 years of experience in insurance verification and pre-authorization required.
- 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:
- 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.
- Annual salary increases with a predictable percentage increase based on performance review.
- Annual year-end bonus and monthly bonuses based on performance.
Career Advancement Opportunities:
- Flat organization with an open-door policy.
- Company-paid certifications and training.
- Career development plans – We want you to grow and become the best at what you love.
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