Verification Specialist

1 day ago

Lipa City, Calabarzon, Philippines beBeeInsurance Full time ₱8,000 - ₱13,500
Job Title: Insurance Verification Specialist

We are seeking a detail-oriented Insurance Verification Specialist to join our team. This role involves verifying patient insurance coverage, ensuring accuracy and eligibility for proposed healthcare services.

The ideal candidate will have 1-3 years of experience in insurance verification and pre-authorization. They must be able to work from 8am to 5pm EST, handle sensitive information with confidentiality, and thrive in a fast-paced environment.

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:
  • 1-3 years of experience in insurance verification and pre-authorization required.
  • Must be able to work from 8am to 5pm EST.
  • Must be able to handle sensitive information with confidentiality.
  • Excellent verbal and written communication skills.
  • Strong analytical and problem-solving skills.
Benefits:
  • 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.
  • Annual salary increases with a predictable percentage increase based on performance review.
  • Annual year-end bonus and monthly bonuses based on performance.
About Us:

We value our employees' growth and well-being. Our flat organization with an open-door policy encourages collaboration and innovation. We offer career development plans, company-paid certifications, and training to help you reach your full potential.

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