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Insurance Verification Specialist

Responsibilities

  • Collect and update demographic and financial details for patients; assign appropriate payor plans and determine eligibility for care.
  • Confirm insurance coverage and benefits for scheduled services, documenting all relevant information accurately in patient accounts.
  • Audit client accounts within the electronic medical record (EMR) system to ensure accuracy; follow up with departments as necessary to address discrepancies
  • Respond to billing inquiries via email or phone from patients and staff regarding accounts, payments, and insurance information.
  • Accurately enter information into relevant systems, following departmental policies and procedures.
  • Answer and route calls and emails, assist with billing inquiries, and compile information for patients and team members as needed.
  • Work closely with other departments to ensure timely and efficient completion of tasks.

Qualifications

  • Familiar with Microsoft Excel, Word, and email platforms (Outlook, Gmail).
  • Strong ability to manage multiple tasks, prioritize, and meet deadlines.
  • Clear and coherent in both written and verbal communication skills to communicate effectively with patients, payers, and team members.
  • Ability to ensure accuracy and compliance with HIPAA and other regulations.
  • Demonstrates initiative and drive to achieve goals without constant supervision.
  • Maintains a systematic approach to managing tasks and responsibilities efficiently.
  • Strong time management skills to execute tasks effectively to meet deadlines and maintain workflow.
  • Ability to analyze challenges and develops practical solutions in a timely manner.
  • Willing to learn and integrate new technologies and procedures as needed.

Screening Criteria

  • At least two (2) years of experience in customer service.
  • Must have a stable employment history.

Location: Philippines
Job Category: Healthcare
Work Setup: WFH Permanent