Insurance Verification Specialist

12 hours ago

Lipa City, Calabarzon, Philippines beBeeVerification Full time ₱400,000 - ₱550,000
Job Title: Insurance Verification Specialist

This role is ideal for individuals with strong organizational skills, a keen eye for detail, and the ability to effectively communicate with various stakeholders.

The successful candidate will possess excellent analytical and problem-solving skills, with the capacity to work in a fast-paced environment while maintaining accuracy and efficiency.

Responsibilities include:

  1. Insurance Benefit Verification
  • Verify patient insurance coverage and benefits through direct communication with insurance companies.
  • Accurately document all benefit details in the electronic health record (EHR) or billing system.
Authorization Requests
  • Prepare and submit prior authorization requests, including relevant clinical documentation.
  • Follow up on pending authorizations with insurance carriers to ensure timely approvals.
Tracking Expiration Dates and Renewals
  • Monitor and track expiration dates for existing authorizations.
  • Proactively initiate renewal processes prior to expiration to avoid service disruptions.
Clinical Staff Coordination
  • Request and compile necessary clinical documentation for submissions.
  • Communicate with clinicians to ensure all required documents are up-to-date and compliant.

Requirements include:

  • At least 2 years of experience in medical billing, insurance verification, or healthcare administration.
  • Strong knowledge of insurance terminology and benefit structures.
  • Excellent verbal and written communication skills.
  • Detail-oriented individuals with multitasking and time management skills are ideal candidates.
  • Proficiency in using spreadsheets, CRM tools, and insurance portals.

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