Healthcare Insurance Verification Specialist

1 week ago


Hagonoy, Central Luzon, Philippines beBeeInsurance Full time $60,000 - $80,000

As a meticulous and detail-oriented professional, you will be responsible for verifying patient insurance coverage, benefits, and eligibility to ensure seamless billing and claims processing. This role is ideal for individuals with strong experience in NextGen software and a solid background in healthcare insurance verification.

Key Responsibilities:
  1. Verify patient insurance eligibility, coverage, and benefits for Neurology and Allergy services.
  2. Accurately enter and update insurance information in NextGen EMR.
  3. Communicate with insurance companies to confirm benefits and resolve discrepancies.
  4. Collaborate closely with providers, billing, and front-office staff to guarantee accurate claims submission.
  5. Assist in resolving prior authorization and referral requirements.
  6. Maintain compliance with HIPAA and payer-specific guidelines.
Requirements:
  1. At least 3 years of relevant experience in insurance verification.
  2. Background in Neurology and Allergy specialties preferred.
  3. Proficiency in NextGen software required.
  4. Strong understanding of healthcare insurance plans, coverage, and policies.
  5. Excellent attention to detail, organizational skills, and communication abilities.
  6. Ability to work independently in a fully remote environment.


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