Eligibility & Benefits Specialist

3 days ago


Manila PH Cebu City PH Davao City PH Limitlessli Full time ₱500,000 - ₱1,000,000 per year

At Limitlessli, we specialize in recruiting, hiring, and managing high-caliber remote staff for dynamic and growing healthcare facilities. Leveraging our extensive global network, we connect clients with highly qualified professionals, offering tailored services to meet our clients' unique business needs.

The Opportunity:

We seek a dedicated Eligibility and Benefits Specialist to join our remote team. In this role, you will work closely with clinical staff to verify insurance coverage, eligibility, and benefits. Your expertise in both 'in-network' and 'out-of-network' benefits, attention to detail, and ability to streamline processes will help ensure patients have access to the care they need. If you have a strong background in benefits verification and medical billing and a commitment to providing excellent service, we'd love to hear from you

This position is remote and offers you the flexibility of working from home.

Your responsibilities will include:
  • Verify insurance coverage, benefits, and eligibility for each patient
  • Review patients' background and health history to ensure accurate eligibility determination
  • Ensure adherence to documentation standards and maintain accurate records
  • Create and maintain accurate client profiles by inputting all relevant information into our system
  • Collaborate with clinical staff to obtain necessary information for processing patient claims efficiently
  • Ensure the completeness and accuracy of client information, making updates as required
  • Assist in developing and implementing process improvements to enhance efficiency and quality
To succeed in this role you will need:
  • Experience in 'out of network' and 'in network' benefits
  • Must have a background in benefits and eligibility verification for claims on behalf of the provider
  • Knowledge of medical billing processes
  • Strong documentation skills and ability to understand medical jargon
  • Excellent English writing and communication skills
  • Proficiency in Microsoft Office Suite
  • Strong customer service focus
  • Detail-oriented with exceptional organizational skills
Service Fee:

Industry standards applicable to the state depending on work experience and level of expertise.

Hours:

US Eastern Standard Time (EST) – 9 am to 6 pm

Why Limitlessli?

We embrace the flexibility and convenience of a remote working environment, and you will collaborate with an international team while contributing to our growing business, all from the comfort of your home.

Essential requirements:

You will need to have some essential tools – a reliable computer and noise-cancelling headset, a second monitor for enhanced productivity, and a stable internet connection. You'll also be required to have a backup internet connection, ensuring that you're well-equipped to complete your work seamlessly.

Don't miss out on this opportunity – apply now and become a valuable member of the Limitlessli team If you're interested in what you have read, then we invite you to take the next step and submit your application.

JOIN OUR TEAM

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