Medical Insurance Eligibility Specialist

13 hours ago


Makati City, National Capital Region, Philippines beBeeInsurance Full time ₱280,000 - ₱440,000

As a vital member of our healthcare team, you will play a crucial role in ensuring the smooth delivery of medical services by verifying patient insurance coverage and eligibility.

Key Responsibilities:
  • Verify patient insurance eligibility for Neurology and Allergy services to ensure seamless billing and claims processing.
  • Enter and update accurate patient information in electronic medical records software.
  • Communicate effectively with insurance companies to confirm benefits and resolve discrepancies.
  • Collaborate closely with healthcare providers, billing, and front-office staff to guarantee claims accuracy.
  • Assist in resolving prior authorization and referral requirements.
  • Maintain strict compliance with HIPAA and payer-specific guidelines.

To excel in this role, you must possess strong attention to detail, excellent organizational skills, and exceptional communication abilities.

Requirements:
  • A minimum of 3 years of relevant experience in insurance verification.
  • Prior background in Neurology and Allergy specialties is highly desirable.
  • Proficiency in electronic medical records software is mandatory.
  • A solid understanding of healthcare insurance plans, coverage, and policies is essential.
  • The ability to work independently in a remote environment is required.


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