Insurance Benefit Coordinator (US Healthcare) | Onsite at Quezon City

Job Description: The Insurance Benefit Coordinator 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: AdaptabilityCommunicationDependabilityDetail OrientedPatient/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. What benefits await you by joining Intelassist? Global career advancement and networking opportunities. Access to both virtual and on-site intensive courses for career and personal development enhancement. Monetary rewards for successful referrals that are hired. Guaranteed weekends off and a total of 20 paid leave days upon regularization. Collaborative work environment

Eligibility for Health Maintenance Organization (HMO) coverage starting from the first month of employment, with coverage of up to 80,000 PHP per illness. About Intelassist

Established in 2007, Intelassist is a remote staffing organization that originated from a collaboration between US-based industry professionals and an experienced operational team in Manila, Philippines. Our US team brings over 20 years of experience in engineering, manufacturing, IT, finance, and high-level operations, while our Manila-based team offers over 15 years of experience in delivering exceptional support to global enterprises. Our coast-to-coast US offices, in collaboration with our dedicated employees in the Philippines, enable us to deliver results to clients in various markets and for a wide range of roles. With over 15 years of experience in the BPO industry, Intelassist places a strong emphasis on organizational resilience and social stewardship to foster lasting, meaningful partnerships within our team and with our clients. At the core of our business lie our people. Our ability to recruit, train, and, most importantly, retain exceptional team members is not only what enables Intelassist to attract the region’s finest talent but also what bestows stability upon our clients through reduced turnover and tangible outcomes. With a workforce of slightly over 1,000 employees, we strike a balance – substantial enough to possess profound insight into the Business Process Outsourcing (BPO) industry, yet intimate enough to maintain the family-like, high-energy work atmosphere that our candidates seek. At Intelassist, we specialize in sourcing, training, and retaining top-tier talent, each exclusively dedicated to meeting our clients’ unique needs. Our proven track record and local presence ensure that Intelassist clients enjoy increased productivity, reduced staff turnover, and significant cost savings.WHY INTELASSIST?We grow together. We value your effort. We aim to empower you.