Risk Management Professional

2 weeks ago

Porac, Philippines beBeeInsurance Full time ₱10,000 - ₱13,500
About Us

We are seeking a detail-oriented Insurance Specialist to join our team. As an Insurance Specialist, you will be responsible for verifying patient insurance coverage and ensuring accuracy and eligibility for proposed healthcare services.

The ideal candidate will have 1-3 years of experience in insurance verification and pre-authorization, excellent verbal and written communication skills, strong analytical and problem-solving skills, and the ability to work in a fast-paced environment.

Responsibilities
  • 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.
  • 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.
Requirements
  • 1-3 years of experience in insurance verification and pre-authorization.
  • Excellent verbal and written communication skills.
  • Strong analytical and problem-solving skills.
  • Ability to work in a fast-paced environment.
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 as much as 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 and participate in games and activities.
  • 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.
About The Job

This is a full-time opportunity that offers a competitive salary and benefits package. If you are a motivated and detail-oriented individual who is passionate about delivering exceptional results, we encourage you to apply.

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