Insurance Verification Specialist

5 days ago


Pasig, National Capital Region, Philippines Connext Full time

Connext Global Solutions
is a dedicated team of business process outsourcing experts and innovators, with experience in supporting world-class companies in Title and Escrow, Healthcare, Produce Distribution, Retail and Fashion, Design Consulting, and Finance.

We are currently looking for an
Insurance Verification Specialis
t
who will be working with Connext's Client in the United States of America

***.

What's in it for yo***

  • u?Competitive compensati
  • onPerfect Attendance Bon
  • usLife insuran
  • ceHMO Insuran
  • ceGreat company cultu
  • reAnnual Merit Increa
  • se25% Night Differenti
  • alPhp 5,000 Sign-On Bonu

***s

What is the j***

ob?

The Insurance Verification Specia
list is responsible for conducting insurance verifications and obtaining prior authorizations for a diverse range of services of the cli

  • ent.

Verify patient eligibility and benefits via portal and/or phone call, including collecting referral and authorization requirements, across multiple payers, states, insurance products, and specialties within customer
- SLAs.Work closely with providers to collect accurate patient and medical records and communicate authorization decis

***ions.

Required Qualifica***

  • tions:Minimum of one (1) year experience with medical billing and/or understanding of benefits including deductibles, co-insurance, out of pocket and benefits exclu
  • sions.Familiar with providers software, including Electronic Medical Record Systems (EMR/EHR) and Practice Management Systems
  • (PMS).Experience with HMOs, PPOs, POSs, EPOs, Medicare, Medicaid. Understanding of each through the referral and authorization pr

ocess.



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