I'm a healthcare insurance representative, and I've been with US healthcare commercial insurance for more than 9 years now. As a healthcare insurance specialist, I play a crucial role in facilitating the financial aspects of healthcare services for patients and providers. My responsibilities typically include:1. Verifying Insurance Coverage: I meticulously review patients' insurance information to ensure accuracy and eligibility for medical services. This involves confirming policy details, coverage limits, co-pays, deductibles, and any pre-authorization requirements.2.Assisting Providers: I serve as a liaison between providers and insurance companies, helping providers understand patients coverage benefits, limitations, and financial responsibilities. This may involve explaining complex insurance terms, answering inquiries about claims, and providing guidance on navigating the healthcare system.3.Processing Claims: I address claims discrepancies, denials, and other billing-related challenges by investigating claim rejections and coordinating with healthcare providers and insurers to resolve disputes.
Experience: 5 - 10 years
Ive been in the same industry for couple of years now, i would say im knowledgeable enough to be able to increase youre revenue when it comes to youre claims in insurance companies.
“I have one of the best VAs I've had in a long time...she's been amazing”
Davonna Willis
SEE MORE REAL RESULTSOnlinejobs.ph "ID Proof" indicates if "they are who they say they are".
It DOES NOT indicate skill level.
ID Proof scores are 0 - 99 with 99 being the best. It is calculated based on dozens of data points.
It's intended to help employers know who they're talking to is real, and not a fake identity.