Benefits Insurance Advisor

2 weeks ago

Imus, Calabarzon, Philippines beBeeInsurance Full time $40,000 - $60,000
Job Title: Benefits Verification Specialist

The role of a Benefits Verification Specialist is critical in providing support to healthcare providers, treatment centers, and billing departments. This position ensures accurate and timely verification of insurance information to facilitate smooth admissions, billing, and claims processes.

As a remote specialist, the Benefits Verification Specialist will work from home to contact insurance companies, gather necessary coverage details, document findings, and communicate with relevant internal teams. A strong understanding of medical terminology, insurance procedures, and excellent communication skills are essential for success in this role.

Key Responsibilities:
  • Verify Patient Insurance Benefits: Contact insurance companies by phone or via portals to verify patient coverage and eligibility.
  • Submit Authorization Requests: Prepare and submit prior authorization requests, including relevant clinical documentation.
  • Track Authorization Expiry and Renewals: Monitor and track expiration dates for existing authorizations, and initiate renewal processes prior to expiration.
  • Coordinate with Clinical Staff: Request and compile necessary clinical documentation for submissions, and communicate with clinicians to ensure all required documents are up to date and compliant.
Requirements:
  • At least 2 years of proven experience in medical billing, insurance verification, or healthcare administration required.
  • A strong knowledge of insurance terminology and benefit structures is also necessary.
  • Excellent verbal and written communication skills, as well as detail-oriented and multitasking abilities, are highly valued.

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