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Healthcare Insurance Claims Specialist

2 months ago

Par, Cornwall, United Kingdom Unity Communications Full time
Job Summary

We are seeking a detail-oriented professional to join our team as a Healthcare Insurance Claims Specialist. In this role, you will be responsible for streamlining insurance processes, managing patient payments, and ensuring accurate claims processing.

Key Responsibilities
  • Submit and process insurance claims for patient services.
  • Follow up on pending claims and resolve any issues or discrepancies.
  • Work with insurance providers to ensure accurate and timely reimbursement.
Additional Responsibilities
  • Handle patient payments, including copays, deductibles, and out-of-pocket expenses.
  • Maintain accurate records of all financial transactions and update patient accounts.
Insurance Verification and Compliance
  • Verify patient insurance eligibility and benefits prior to service.
  • Communicate with insurance companies to confirm coverage and address any issues.
Administrative Support
  • Update and maintain patient records in the electronic health record (EHR) system.
  • Prepare and manage necessary documentation for insurance purposes.
Customer Service and Communication
  • Provide excellent service to patients regarding their insurance questions and payment responsibilities.
  • Address patient inquiries and resolve billing or insurance-related issues.
  • Ensure clear communication between patients, insurance companies, and healthcare providers.
Requirements
  • High school diploma or equivalent educational levels.
  • Proven experience in a customer service role, preferably in healthcare.
  • Strong understanding of insurance processes and payment handling.
  • Excellent organizational and multitasking skills.
  • Strong communication and interpersonal skills.
  • Ability to maintain confidentiality and handle sensitive information.
What We Offer
  • HMO coverage with two free dependents upon regularization.
  • VL/SL credits upon regularization.
  • Friendly and supportive work culture.
  • 13th-month pay and other Philippine government-mandated benefits.
  • Nontaxable allowances.
  • Pay increases, performance bonuses, birthday gifts, and many more.
  • Transportation allowance.
About Unity Communications

Unity Communications is a Certified Great Place To Work that values inclusion and diversity and spreads kindness and positivity. Our company is committed to providing a supportive and inclusive work environment for our employees.