Specialized Medical Service Claims Coordinator

24 hours ago


Mandaue City, Central Visayas, Philippines beBeeInsuranceClaimsProcessor Full time ₱500,000 - ₱750,000

At our organization, we are seeking a highly detail-oriented Insurance Claims Processor with expertise in Neurology and Allergy practices.

Key Responsibilities:
  1. Verify patient insurance eligibility, coverage, and benefits for specialized medical services.
  2. Ensure accuracy when entering and updating insurance information within our electronic medical records system.
  3. Communicate effectively with insurance companies to confirm benefits and resolve discrepancies.
  4. Collaborate closely with healthcare providers, billing specialists, and front-office staff to guarantee claims accuracy.
  5. Support in resolving prior authorization and referral requirements.
  6. Maintain compliance with all relevant regulations, including HIPAA guidelines.
Requirements:
  1. A minimum of three years of experience in insurance verification or a related field is required.
  2. Background in Neurology and Allergy specialties is preferred but not necessary.
  3. Proficiency in NextGen software is mandatory.
  4. Strong understanding of healthcare insurance plans, coverage, and policies is essential.
  5. Excellent attention to detail, organizational skills, and communication abilities are vital.
  6. Ability to work independently in a remote environment.
Benefits:
  • Flexible, permanent work-from-home arrangement.
  • Weekly paychecks.
  • Fixed weekend off schedule.
  • HMO reimbursement after 90 days of employment.
  • Thriving company culture with complete autonomy.
  • Exclusive training programs for specialized knowledge development.
  • Competitive salary.


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