Virtual Benefit Verifier

1 week ago

Pasig, National Capital Region, Philippines beBeeVerification Full time $40,000 - $80,000
Job Summary:
The Verification of Benefits Virtual Assistant plays a vital role in supporting healthcare providers and treatment centers by verifying patients' insurance coverage and benefits. This position ensures accurate and timely verification of insurance information to facilitate smooth admissions, billing, and claims processes.

About the Role:
This is a remote opportunity for a detail-oriented individual with strong communication skills to work as a Virtual Assistant in our team. As a VOB specialist, you will contact insurance companies, gather necessary coverage details, document findings, and communicate with internal teams.

Responsibilities:

  1. Verify Patient Insurance Benefits

  1. Contact insurance companies by phone or via portals to verify patient coverage and eligibility.
  2. Gather detailed information on covered services, copays, deductibles, and prior authorization requirements.
  3. Accurately document all benefit details in the EHR or billing system.

  1. Submit Authorization Requests

  1. Prepare and submit prior authorization requests, including relevant clinical documentation.
  2. Follow up on pending authorizations with insurance carriers to ensure timely approvals.
  3. Maintain accurate records of all submitted authorizations.

  1. Track Authorization Expiry and Renewals

  1. Monitor and track expiration dates for existing authorizations.
  2. Proactively initiate renewal processes prior to expiration to avoid service disruptions.
  3. Notify the clinical and administrative teams of any issues or lapses.

  1. Coordinate with Clinical Staff

  1. Request and compile necessary clinical documentation for submissions.
  2. Communicate with clinicians to ensure all required documents are up to date and compliant
  3. Ensure Compliance and Accuracy
  4. Maintain confidentiality and comply with HIPAA and internal data protection policies
  5. Ensure accurate data entry, documentation, and reporting of insurance verification and authorization status.
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