Insurance Policy Expert

1 day ago

Cabuyao, Calabarzon, Philippines beBeeInsurance Full time ₱9,000 - ₱13,500
Insurance Specialist Role

About the Job

Candidates will be responsible for verifying patient insurance coverage, ensuring accuracy and eligibility for proposed healthcare services. They will also assist in creating policies, processes, and documents.

Responsibilities:

  • Verify patient insurance coverage and 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.

Requirements:

  • 1 to 3 years of experience in insurance verification and pre-authorization is required.
  • Candidates must be able to work from a standard working hour and have excellent verbal and written communication skills.
  • They must also be able to handle sensitive information with confidentiality and have strong analytical and problem-solving skills.
  • Other key qualifications include multi-tasking, communication, and organizational skills.

Benefits:

  • Paid medical insurance/HMO right from the first day.
  • Up to 15 days of paid time off, monthly short leaves, marriage leaves, and additional unpaid vacation leaves.
  • Annual salary increases with a predictable percentage increase based on performance review.
  • Annual year-end bonus and monthly bonuses based on performance.

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