Insurance Policy Specialist

7 days ago

Rizal, Philippines beBeeCompliance Full time ₱13,500
Job Title: Insurance Policy Expert

About the Role

We are seeking a detail-oriented professional to handle various support tasks in our insurance and authorization department. This role involves collaborating with healthcare providers, gathering clinical information, and facilitating the prior authorization process.

Responsibilities:

  • Verify patient insurance coverage to ensure accuracy and eligibility for proposed healthcare services.
  • Prepare and submit comprehensive authorization requests to insurance companies with required documentation.
  • Collaborate with healthcare providers to obtain necessary clinical information and facilitate the prior authorization process.
  • Monitor authorization request status, follow up with insurance companies, and maintain detailed records of communications.
  • Investigate and address insurance denials by resubmitting requests or appealing when necessary.
  • Communicate with patients regarding the prior authorization process, potential delays, and 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 is required.
  • Must be able to work from 8am to 5pm EST.
  • Ability to handle sensitive information with confidentiality.
  • Strong verbal and written communication skills.
  • Excellent analytical and problem-solving skills.
  • Attention to detail, multi-tasking, and organizational skills are essential.
  • Paid medical insurance/HMO 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.
  • Happy Hour every Friday – Free meal and extra break time to bond with the team.
  • Annual team-building activities – Explore adventures with the team.
  • Career development plans – We want you to grow and become the best at what you love.
  • Flat organization with an open-door policy.
  • Company-paid certifications and training.

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