Insurance Claims Examiner

24 hours ago


Pasig, National Capital Region, Philippines beBeeInsurance Full time ₱13,500
Job Overview:

We are seeking a highly organized Insurance Verification Specialist to support our insurance and authorization operations.

  • Verify patient insurance coverage, ensuring 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.
  • Other insurance-related tasks assigned.
Requirements:
  • 1 to 3 years of experience in insurance verification and pre-authorization required.
  • Must be able to work from a standard schedule.
  • Must be able to handle sensitive information with confidentiality.
  • Must be able to work in a fast-paced environment.
  • Excellent verbal and written communication skills.
  • Strong analytical and problem-solving skills.
  • Strong attention to detail, multi-tasking, communication, and organizational skills are essential.
  • Demonstrated ability to accurately perform data entry and pay close attention to detail.


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