Insurance Industry Specialist

2 days ago

Mandaue City, Central Visayas, Philippines beBeeInsurance Full time ₱13,500
Job Opportunity: Insurance Specialist

About the Position

This role involves supporting a wide range of activities within our insurance and authorization department. As an Insurance Specialist, you will be involved in creating policies, processes, and documents. You will work directly with one of our customers, delivering tasks outlined in the job responsibilities.

Responsibilities:

  • Verify patient insurance coverage to 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.
  • Other insurance-related tasks assigned.

Requirements:

  • 1 to 3 years of experience in insurance verification and pre-authorization is required.
  • Able to work from 8am to 5pm EST.
  • Must handle sensitive information with confidentiality.
  • Able to work in a fast-paced, growing environment.
  • Excellent verbal and written communication skills.
  • Strong analytical and problem-solving skills.
  • Attention to detail, multi-tasking, and organizational skills are essential.
  • Able to accurately perform data entry and pay close attention to detail.

Benefits:

  • Paid medical insurance/HMO (Philcare) right from the first day.
  • Up to 15 days of paid time off, monthly short leaves, marriage leaves, and additional unpaid vacation leaves.
  • Earn up to PHP 13,500 from the employee referral program.
  • Annual salary increases with a predictable percentage increase based on performance review.
  • Annual year-end bonus and monthly bonuses based on performance.
  • Happy Hour every Friday – Free meal every Friday with an extra hour of break time to bond with the team.
  • Annual team-building – Shift gears and explore adventures with the team out of the office.
  • Career development plans – We want you to grow and become the best at what you love.
  • Casual wear in the office – Express your fashion or stay comfy.
  • Flat organization with an open-door policy.
  • Company-paid certifications and training.

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