Medical Insurance Verification Specialist
hace 3 semanas
**About the Company**:
We are a leading healthcare services provider based in Bogotá, Colombia, committed to delivering quality care and support to our patients. We are looking for a meticulous and detail-oriented Medical Insurance Verification Specialist to join our billing and coding team for our client in Texas, USA. This role is crucial in ensuring accurate processing of medical claims and verifying patient insurance coverage.
**Job Summary**:
The Medical Insurance Verification Specialist will be responsible for verifying patients' insurance information, ensuring coverage for medical services, and supporting the billing and coding team in accurate claim submissions. This role requires familiarity with the Colombian healthcare system, including EPS (Entidades Promotoras de Salud) and IPS (Instituciones Prestadoras de Servicios de Salud), and a strong understanding of medical billing and coding processes.
**Key Responsibilities**:
- Verify patient insurance coverage with EPS and private insurers to confirm eligibility for medical services.
- Accurately input and update patient insurance information in the billing system.
- Communicate with insurance companies to resolve any discrepancies or issues related to coverage.
- Support the billing and coding team by providing necessary insurance verification for claim submissions.
- Monitor and follow up on insurance authorizations and referrals.
- Assist in identifying and resolving billing errors or issues related to insurance claims.
- Maintain up-to-date knowledge of insurance policies, procedures, and healthcare regulations in Colombia.
- Provide excellent customer service to patients and healthcare providers by answering inquiries related to insurance coverage.
**Qualifications**:
- High school diploma or equivalent; technical or vocational training in medical billing, coding, or healthcare administration is preferred.
- Minimum of 1-2 years of experience in medical insurance verification, billing, or coding.
- Familiarity with medical billing and coding systems, and relevant software.
- Strong attention to detail and organizational skills.
- Excellent communication and interpersonal skills.
- Ability to work independently and in a team environment.
**Preferred Skills**:
- Experience with ICD-10, CPT coding, and other medical coding standards.
- Proficiency in using healthcare management software.
- Bilingual (Spanish/English) proficiency.
**Compensation**:
- Competitive salary in the range of COP 1,500,000 - 3,000,000 per month, based on experience and qualifications.
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