Insurance Benefit Verification Specialist

2 days ago

San Juan, National Capital Region, Philippines beBeeInsurance Full time ₱1,300,000 - ₱1,900,000
Job Title: Insurance Benefit Verification Specialist

This role involves verifying patients' insurance coverage and benefits to support healthcare providers, treatment centers, and billing departments.

The successful candidate will work remotely to contact insurance companies, gather necessary coverage details, document findings, and communicate with relevant internal teams.

Key Responsibilities:
  1. Verify patient insurance benefits by contacting insurance companies, gathering detailed information on covered services, copays, deductibles, and prior authorization requirements.
  2. Submit authorization requests, including relevant clinical documentation, and follow up on pending authorizations with insurance carriers to ensure timely approvals.
  3. Monitor and track expiration dates for existing authorizations, proactively initiate renewal processes prior to expiration, and notify the clinical and administrative teams of any issues or lapses.
  4. Coordinate with clinical staff to request and compile necessary clinical documentation for submissions, communicate with clinicians to ensure all required documents are up to date and compliant, and maintain accurate records of all submitted authorizations.

A strong understanding of medical terminology, insurance procedures, and excellent communication skills are essential for success in this role.

At least 2 years of proven experience in medical billing, insurance verification, or healthcare administration is required. Strong knowledge of insurance terminology and benefit structures is also necessary.

Requirements:
  • Reliable internet connection and a quiet, professional remote work environment.
  • Genuine Windows 10 Licensed Computer and Microsoft Office Suite.

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