Insurance Verification Professional for Medical Administrative Efficiency

1 month ago


Iloilo City, Western Visayas, Philippines TMDPH INC Full time

We are seeking a meticulous and detail-oriented Insurance Verification Specialist to join our healthcare team at TMDPH Inc.

Key Responsibilities:
  • Verify patients' insurance coverage and benefits by contacting insurance providers, utilizing online portals, and reviewing insurance documentation.
  • Achieve accurate record-keeping of insurance information, policy details, and coverage limitations in electronic health record (EHR) systems.
  • Confirm patients' eligibility for medical services, procedures, and treatments based on insurance guidelines.
  • Collaborate with healthcare providers, billing teams, and administrative staff to ensure accurate billing and reimbursement.
  • Educate patients on their insurance coverage, co-pays, deductibles, and any pre-authorization requirements.
  • Obtain necessary pre-authorizations for medical procedures and treatments as required by insurance plans.
  • Assist in resolving insurance-related inquiries and discrepancies, coordinating with insurance companies to address issues.
  • Maintain patient confidentiality and adhere to ethical standards when handling sensitive insurance information.

Estimated Salary: $45,000 - $65,000 per year, depending on experience and qualifications. This compensation package reflects the importance of this role in ensuring efficient insurance verification processes within our organization.

Required Qualifications:

  • Bachelor's Degree in any field. Some college education in healthcare administration or related fields is preferred.
  • Familiarity with using insurance verification software, electronic health record (EHR) systems, and office applications.
  • Strong understanding of medical billing procedures, insurance plans, and coverage guidelines.
  • Excellent written and verbal communication skills for effective interactions with patients, insurance representatives, and medical professionals.
  • Exceptional attention to detail and accuracy in recording insurance information.

About Our Organization: TMDPH Inc. is a leading healthcare provider dedicated to delivering exceptional patient care and innovative solutions. We prioritize professionalism, integrity, and teamwork in all aspects of our operations.



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