Insurance Benefits Specialist

2 days ago

Makati City, National Capital Region, Philippines beBeeVerification Full time ₱5,400,000 - ₱7,200,000
Job Opportunity

This Eligibility and Benefits Coordinator role involves verifying insurance coverage, estimating patient financial responsibilities, and determining the coverage of specific medical services, devices, and treatment modalities under patients' insurance plans. The ideal candidate will have expertise in insurance benefits and coverage, strong communication skills, and a problem-solving mindset.

Key Responsibilities:
  • Verify patients' insurance coverage and eligibility through electronic systems or direct communication with insurance providers.
  • Review insurance policies, benefit summaries, and pre-authorization requirements to determine coverage for medical services, devices, and treatment modalities.
  • Estimate patients' out-of-pocket expenses, including co-pays, deductibles, and co-insurance, for planned medical services or procedures.
  • Determine if specific medical services, devices, or treatment modalities are covered under patients' insurance plans.
  • Maintain accurate records of insurance verifications, coverage determinations, and patient cost estimates.
Requirements:
  • Strong verbal and written communication skills
  • Expert understanding of insurance benefits and coverage
  • Understanding of insurance web portals
  • Problem solving minded/focused
  • Minimum 2 years of experience in an insurance benefits and verification environment

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