Benefits Verification Specialist

14 hours ago

Cavite City, Calabarzon, Philippines beBeeVerifier Full time ₱600,000 - ₱800,000

Job Title: Benefits Verifier

About This Role:

We are seeking a highly organized and detail-focused Benefits Verifier to join our team. In this critical role, you will play a vital part in ensuring accurate and timely verification of insurance information for patients.

This position requires strong analytical skills, excellent communication abilities, and a solid understanding of medical terminology and insurance procedures.

You will work closely with healthcare providers, treatment centers, and billing departments to verify patient coverage and benefits, facilitating smooth admissions, billing, and claims processes.

Your Key Responsibilities:
  1. Verify Patient Insurance Benefits
  • Contact insurance companies by phone or via portals to verify patient coverage and eligibility.
  • Gather detailed information on covered services, copays, deductibles, and prior authorization requirements.
  • Accurately document all benefit details in the EHR or billing system.
Additional Tasks:
  1. Submit Authorization Requests
  • Prepare and submit prior authorization requests, including relevant clinical documentation.
  • Follow up on pending authorizations with insurance carriers to ensure timely approvals.
  • Maintain accurate records of all submitted authorizations.
  1. Track Authorization Expiry and Renewals
  • Monitor and track expiration dates for existing authorizations.
  • Proactively initiate renewal processes prior to expiration to avoid service disruptions.
  • Notify the clinical and administrative teams of any issues or lapses.
Requirements:
  • A minimum of 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 with the ability to multitask and manage time effectively.
  • Proficient in using spreadsheets, CRM tools, and insurance portals.
  • A reliable internet connection and a quiet, professional remote work environment.

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