Insurance Verification Specialist

Connext


Date: 3 days ago
City: Pasig City
Contract type: 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 a Procurement Associate who will be working with Connext's Client in the United States of America.

What's in it for you?

  • Competitive compensation
  • Perfect Attendance Bonus
  • Life insurance
  • HMO Insurance
  • Great company culture
  • Annual Merit Increase
  • 25% Night Differential
  • 10,000 pesos SIGN-ON BONUS



What is the job?


Screening Criteria:

• Minimum of one (1) year of experience with medical billing and/or understanding of benefits including deductibles, co-insurance, out of pocket and benefits exclusions

• Must have a stable employment history.

• Can work onsite


Job Description:

• 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 decisions.

• Expediently complete prior authorizations using insurance portals or calling insurers directly.

• Ensure authorization is approved in a timeline manner by following up with insurers and providing additional information.

• Be responsible for handling multiple prior authorizations simultaneously and create process to ensure top of the line performance

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