
Insurance and Benefits Coordinator
1 day ago
This position is responsible for verifying insurance coverage, estimating patient cost-sharing responsibilities, and determining the coverage of specific services, devices, and treatment modalities under patients' insurance plans.
Key Responsibilities- Verify patients' insurance coverage 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. Communicate cost estimates to patients, explaining their financial responsibilities and payment options.
- Investigate and determine if specific medical services, devices, or treatment modalities are covered under patients' insurance plans. Liaise with insurance companies to obtain pre-authorizations and prior approvals for procedures or treatments when necessary.
- Maintain accurate records of insurance verifications, coverage determinations, and patient cost estimates. Generate reports on insurance verification outcomes, coverage trends, and reimbursement issues to support decision-making and process improvement.
- Strong verbal and written communication skills
- Expert understanding of insurance benefits and coverage
- Understanding of insurance web portals
- Problem-solving mindset
- Minimum 2 years of experience in benefits and verification
- Resolution-focused mindset
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Medical Insurance Coordinator
2 days ago
Cebu City, Central Visayas, Philippines beBeeHealthcareBilling Full time ₱150,000 - ₱250,000Job OpportunityWe are seeking a skilled professional to cater to all billing inquiries from patients and doctors, process payments, and perform general tasks in our US-based healthcare organization.This is a full-time role on a US shift with a work-in-office set-up.If you have the right skill set, this may be your opportunity to enter this fast-growing...
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Healthcare Insurance Specialist
5 days ago
Cebu City, Central Visayas, Philippines beBeeHealthcare Full timeHealthcare Insurance SpecialistWe are seeking a detail-oriented and experienced Healthcare Insurance Specialist to support our insurance verification and authorization processes.Contact insurance providers to verify patient eligibility and coverageAccurately document payer responses in internal systemsFlag missing or unclear information for internal...
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HR Specialist – Compensation and Benefits
4 weeks ago
Cebu City, Central Visayas, Philippines QBE Insurance Full timePrimary DetailsTime Type: Full timeWorker Type: EmployeeThe purpose of this role is to manage and support People employee programs within the organisation, ensuring smooth administration and processing of transactions and workflows.Responsibilities:Entering personal details of new employees and updating and maintaining all existing records in the...
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Patient Care Coordinator
3 weeks ago
Cebu City, Central Visayas, Philippines Helpware Full timePosition Summary:As a Patient Care Coordinator, you will be responsible for maintaining patient information and coordinating with caregivers and insurance companies. You will handle all requests and inquiries for patient information and disperse this information according to federal and state regulations. Ensuring compliance with the medical facility's...
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Patient Care Coordinator
3 weeks ago
Cebu City, Central Visayas, Philippines Helpware Inc. Full timePosition Summary:As a Patient Care Coordinators, we are responsible for maintaining patient information and coordinating with caregivers and insurance companies. We handle all requests and inquiries for patient information and disperse this information according to federal and state regulations. Ensuring compliance with the medical facility's policies and...
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Insurance / Claims Analysts - (Onsite)
2 weeks ago
Cebu City, Central Visayas, Philippines Staff Outsourcing Solutions Full timeREQUIREMENTS:Experience working as a representative of the providers or members line for queries in eligibility and benefits, claims, and authorizations. Preferably with experience in inpatient or outpatient services.Must know the basic insurance terms.Knowledge in Medical Billing/Claims.Experience in Revenue Cycle Management (or a part of) required.The job...
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BI Reporting Analyst
2 days ago
Cebu City, Central Visayas, Philippines QBE Insurance Full timeOverviewJoin to apply for the BI Reporting Analyst role at QBE Insurance.Primary DetailsTime Type: Full timeWorker Type: EmployeeLocation: Manila/CebuDivision: GSSC/GCDOTower Unit: Data Analytics and AIDepartment: Data AnalyticsReports to: BI Reporting Associate ManagerLevel: 5ResponsibilitiesData Collection: Gather data from various sources, such as...
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Sales Officer for Non-Life Insurance
3 weeks ago
Cebu City, Central Visayas, Philippines WHR Global Consulting Full timePOSITION TITLE: Branch Insurance Officer for Cebu (Agency Recruitment and Activation Officer) WORK LOCATION: Cebu WORK SETUP: Onsite WORK SCHEDULE: Day ShiftQUALIFICATIONS -Bachelor's degree in Business Administration, Marketing, Human Resources, or a related field -Proven experience in recruitment, sales, or similar roles, preferably in insurance, real...
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Business Process Engineer
2 days ago
Cebu City, Central Visayas, Philippines QBE Insurance Full timeOverviewWe are seeking a Business Process Engineer to support process improvement initiatives, including process automation solutions and quality improvements, in partnership with GSSC functions and global stakeholders. The focus is on process re-engineering, reducing process gaps and variations, and executing the continuous improvement...
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NEMT Outreach Coordinator
5 days ago
Cebu City, Central Visayas, Philippines beBeeCoordination Full timeKey Responsibilities:">Maintain a list of national and state-level NEMT brokers and key contacts.Send outreach emails, schedule calls, and follow up with brokers and vendor onboarding teams.Prepare and submit capability statements, RFP forms, and introductory documentation.Coordinate document collection from affiliates (insurance, licenses, compliance...