Insurance Coverage Specialist

1 week ago

Pagadian, Zamboanga Peninsula, Philippines beBeeInsurance Full time ₱10,000 - ₱13,500
Job Overview

We are seeking a highly skilled Insurance Coverage Specialist to support our insurance and authorization team. This key role is responsible for verifying patient insurance coverage, preparing and submitting authorization requests, and collaborating with healthcare providers to ensure seamless prior authorization processes.

Key Responsibilities:

  • Verify patient insurance eligibility for proposed healthcare services.
  • Prepare comprehensive authorization requests with required documentation.
  • Collaborate with healthcare providers to gather clinical information and facilitate the prior authorization process.
  • Monitor authorization request status, 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 regarding the prior authorization process, potential delays, and financial responsibilities.
  • Maintain compliance with healthcare regulations, privacy laws, and insurance company policies.

Requirements:

  • 1-3 years of experience in insurance verification and pre-authorization.
  • Able to work from 8am to 5pm EST.
  • Confidentiality in handling sensitive information.
  • Strong analytical and problem-solving skills.
  • Excellent verbal and written communication skills.
  • Attention to detail, multi-tasking, and organizational skills.

Benefits:

This position offers a rewarding career opportunity with opportunities for growth and professional development.

About the Role:

This role is an excellent fit for individuals who enjoy working in a dynamic and fast-paced environment, and who take pride in delivering high-quality results.

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