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Home Philippines Insurance & Eligibility Specialist

Insurance & Eligibility Specialist

Full time at Clark Outsourcing in Philippines
Posted on April 12, 2024

Job details

Position Title: Insurance & Eligibility Specialist Salary: 30,000 - 35,000 PHP a month Reports To: Partner, Partner Advisor Primary Relationships: Partner Team Date: March 2024 Schedule: 9:00 PM - 6:00 AM PHT Responsibilities:

  • Receive new referrals and promptly initiate verification process
  • Verify if referrals belong to Downtown-Houston or sister agency for appropriate routing.
  • Verify payment methods for services rendered
  • Coordinate with the team to assess and accept/reject new referrals based on eligibility criteria
  • Request authorization from insurance providers when necessary
  • Coordinate the overall new intake process ensuring accurate customer information is added to the Agency Billing System (ABS)
Qualifications:
  • Bachelor's degree in a related field preferred
  • Proven experience in insurance verification and eligibility determination
  • Strong knowledge of insurance policies and procedures
  • Excellent communication skills, both verbal and written
  • Ability to work efficiently in a team environment
  • Detail-oriented with exceptional organizational skills
  • Proficiency in using relevant software and databases for verification and coordination tasks
  • Ability to adapt to changing priorities and manage multiple tasks simultaneously
COmpany Benefits:
  • SSS, Philhealth, Pag-Ibig
  • 13th Month Pay
  • HMO and Life Insurance (AVEGA)
  • Free Shuttle Service
  • CO League - Monthly Company Activities
  • CO Clubs
  • CO Amenities Swimming Pool, Clinic and Kids zone
  • CO Stars - Corporate Social Responsibility Involvement Scholarship Programs
  • CO Academy - Training and Development Programs
  • COolture Coach
  • CO Gears
  • Cool and Flexible Workplace
  • Other Performance and Attendance Based Rewards
  • Bereavement Leave
  • Paternity Leave
  • 7 days SOLO Parent Leave
  • Magna Carta Leave
  • Company Bank Loan
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