Benefits Verification Specialist

2 days ago

Baguio City, Cordillera, Philippines beBeeVerification Full time ₱400,000 - ₱500,000
Verification of Benefits Specialist

A dedicated Verification of Benefits (VOB) specialist plays a critical role in supporting healthcare providers, treatment centers, and billing departments by verifying patients' insurance coverage and benefits. This position ensures accurate and timely verification of insurance information to facilitate smooth admissions, billing, and claims processes.

  • Verify Patient Insurance Benefits
  1. Contact insurance companies to verify patient coverage and eligibility.
  2. Gather detailed information on covered services, copays, deductibles, and prior authorization requirements.
  3. Accurately document all benefit details in the electronic health record or billing system.
  • Submit Authorization Requests
  1. Prepare and submit prior authorization requests, including relevant clinical documentation.
  2. Follow up on pending authorizations with insurance carriers to ensure timely approvals.
  3. Maintain accurate records of all submitted authorizations.
  • Track Authorization Expiry and Renewals
  1. Monitor and track expiration dates for existing authorizations.
  2. Proactively initiate renewal processes prior to expiration to avoid service disruptions.
  3. Notify the clinical and administrative teams of any issues or lapses.
Job Qualifications:
  • At least 2 years of experience in medical billing, insurance verification, or healthcare administration is required.
  • Strong knowledge of insurance terminology and benefit structures.
  • Excellent verbal and written communication skills.
  • Detail-oriented with the ability to multitask and manage time effectively.
  • Proficient in using spreadsheets, CRM tools, and insurance portals.
Required Skills:
  • Medical terminology
  • Insurance procedures
  • Communication skills

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