Healthcare Insurance Verification Specialist

5 hours ago


Baguio City, Cordillera, Philippines beBeeInsuranceVerification Full time ₱1,800,000 - ₱2,200,000

We are seeking an Insurance Verification Specialist to join our team.

The ideal candidate will have expertise in Neurology and Allergy practices, with a strong background in healthcare insurance verification.

This role involves verifying patient insurance coverage, benefits, and eligibility to ensure smooth billing and claims processing.

Key Responsibilities:
  1. Verify patient insurance eligibility, coverage, and benefits for Neurology and Allergy services.
  2. Accurately enter and update insurance information in NextGen EMR.
  3. Communicate with insurance companies to confirm benefits and resolve discrepancies.
  4. Work closely with providers, billing, and front-office staff to ensure claims accuracy.
  5. Assist in resolving prior authorization and referral requirements.
  6. Maintain compliance with HIPAA and payer-specific guidelines.
Requirements:
  1. At least 3 years of relevant experience in insurance verification.
  2. Background in Neurology and Allergy specialties preferred.
  3. Proficiency in NextGen software required.
  4. Strong understanding of healthcare insurance plans, coverage, and policies.
  5. Excellent attention to detail, organizational skills, and communication abilities.
  6. Ability to work independently in a fully remote environment.


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