Insurance Benefit Coordinator (Healthcare - Seasonal Contract)

Employment Type:
Seasonal (1-3 months)
Work Setup:
Work Onsite setup.
Work Schedule:
Night Shift (Eastern Time zone)
Location:
Eastwood City Cyberpark Eastwood Avenue, Quezon City, Philippines, 1110
Salary Package:
40,000 PHP/Monthly
Job Description:
The
Insurance Benefit Coordinato
r functions as an integral member of a multidisciplinary intake team which manages the care of new patients. This position will verify a patient’s health benefits and coverage for infusion services. The Insurance Benefit Coordinator works closely with the Intake team to process new referrals timely. Ensures accurate and complete verification of insurance benefits. Works closely with clinical staff and Intake team in providing and promoting customer service, process flow, operational integrity, quality care and process improvement along with maintaining high service standards.
Essential Duties and Responsibilities:
Provides timely acceptance and completion of new referrals.
Performs in-depth benefit verification.
Reviews insurance medical policy requirements and FDA guidelines.
Obtains all needed information from the MD office for insurance authorizations.
Submits requests for insurance authorization, following up on denials, peer-to-peer reviews, and appeals.
Answers calls from queue and assists callers in a timely and polite manner.
Gives high priority to client satisfaction and anticipates customer needs.
Provides excellent internal and external customer service by ensuring work meets quality standards; sets high goals or standards of performance for self; takes pride in his/her work and completes work on schedule.
Demonstrates adaptability to an increasingly complex and changing environment; maintaining composure under pressure.
Takes initiative to present ideas and suggestions for process improvements to the team lead, supervisors, and management.
Maintains industry knowledge regarding insurance authorization requirements, limitations, and exceptions.
Performs other duties and projects as assigned.
Required Behavioral Competencies:
Adaptability
Communication
Dependability
Detail Oriented
Patient/Customer Focus
Planning and Organizing
Positive Impact
Teamwork
Job Requirements:
Bachelor's Degree of any related course preferred
Proficient in Microsoft Office Suite,
EMR software
Strong background in
Insurance Verification.
Background in
Insurance Authorization.
Ability to
interpret medical results.
Familiar with the
medical procedure codes.
Understands the difference between
medical
and
pharmacy benefits
.
Atleast
2 years
working experience handling Insurance benefits.
Must uphold all principles of confidentiality and patient care to the fullest extent while adhering to and complying with the Health Insurance Portability and Accountability Act (HIPAA) at all times.
Experience handling US Client/Customer is a plus.
Knowledge of, and sensitivity to, cultural and language differences.
Able to perform
basic mathematical computations.
Amenable to work
ONSITE.
Willing to work following the US Timezone.
WHY INTELASSIST?
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