Insurance Verification Coordinator

21 hours ago

Pasay, National Capital Region, Philippines beBeeInsurance Full time ₱6,500 - ₱13,500
Job Title: Insurance Specialist

We are seeking a detail-oriented Insurance Specialist to join our team. The ideal candidate will have excellent communication and organizational skills, with the ability to work in a fast-paced environment.

Key Responsibilities:

  • Verify patient insurance coverage and ensure accuracy and eligibility for proposed healthcare services.
  • Prepare and submit comprehensive authorization requests to insurance companies with all required documentation.
  • Collaborate with healthcare providers to gather relevant clinical information and facilitate the prior authorization process.
  • Monitor the status of authorization requests, follow up with insurance companies, and maintain detailed records of communications.
  • Investigate and address insurance denials, resubmitting requests and appealing denials when necessary.
  • Communicate with patients to explain the prior authorization process, potential delays, and any 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 required.
  • Ability to work from 8am to 5pm EST.
  • Confidentiality and discretion when handling sensitive information.
  • Excellent verbal and written communication skills.
  • Strong analytical and problem-solving skills.
  • Attention to detail, multi-tasking, and strong organizational skills.
  • Paid medical insurance/HMO (Philcare) 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.

Benefits:

  • Casual wear in the office.
  • Flat organization with an open-door policy.
  • Company-paid certifications and training.

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