Insurance Pre-Authorization Professional

1 day ago

San Juan, National Capital Region, Philippines beBeeInsurance Full time ₱13,500
Insurance Verification Role

We are seeking a skilled Insurance Specialist to join our team and contribute to the success of our insurance and authorization department. This role offers a wide range of support activities, including verifying patient insurance coverage, preparing comprehensive authorization requests, and collaborating with healthcare providers.

The ideal candidate will possess excellent analytical and problem-solving skills, as well as strong attention to detail and organizational abilities. They will be able to accurately perform data entry, handle sensitive information with confidentiality, and work effectively in a fast-paced environment.

  • Job 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:
  • A minimum of 1 to 3 years of experience in insurance verification and pre-authorization is required.
  • Ability to work from 8am to 5pm EST.
  • Strong communication and interpersonal skills.
  • Excellent analytical and problem-solving skills.
  • Strong attention to detail, multi-tasking, communication, and organizational skills.
Benefits Package
  • 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 Our Team

We believe in creating a collaborative and dynamic work environment that supports the growth and development of our employees. Our flat organization structure allows for open communication and transparency, enabling us to make informed decisions and drive innovation.

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