U.S. Healthcare Insurance Specialist

23 hours ago

Makati City, National Capital Region, Philippines beBeeInsurance Full time ₱800,000 - ₱1,200,000
Healthcare Insurance Coordinator Role Summary

This role is ideal for experienced and detail-oriented professionals with a strong background in U.S. healthcare insurance, who thrive in structured, fast-paced environments.

Job Description:

As a Healthcare Insurance Coordinator, you will be responsible for supporting our insurance verification and authorization processes. Your primary duties will include verifying patient eligibility and coverage, accurately documenting payer responses, flagging missing or unclear information, and following payer-specific guidelines.

Key Responsibilities:
  • Verify patient eligibility and coverage through contact with insurance providers
  • Accurately document payer responses in internal systems
  • Flag missing or unclear information for internal review
  • Follow payer-specific guidelines, such as Medicaid vs. commercial insurance
Additional Responsibilities:
  • Support initial authorization requests by reviewing patient intake documents and treatment recommendations
  • Complete payer-specific authorization request forms
  • Assemble and submit packets with supporting documents
  • Track confirmation statuses and log necessary follow-ups
Requirements:
  • 4+ years of experience in U.S. healthcare insurance coordination or revenue cycle management
  • Deep understanding of verification of benefits (VOB), prior authorizations, and treatment re-authorizations
  • Familiarity with payer guidelines, including Medicaid and commercial plans
  • Experience working with insurance portals or healthcare systems
  • High attention to detail and ability to handle sensitive patient data securely
  • Excellent written and verbal communication skills in English
  • Reliable internet connection and ability to work consistently 45 hours per week

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