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**RedValley**, the fast-growing company in Medellín, is looking for a talented, and strategic, **on-site Insurance Specialist** to join one of our healthcare divisions. You will be responsible for managing the insurance claims process, verifying patient benefits, and obtaining prior authorizations for medical procedures and treatments. Your work will ensure that our patients receive the necessary care while maintaining compliance with insurance policies and maximizing reimbursement.
We have partnered with one of the biggest **Cardiovascular Medicine and Interventional Cardiology** specialized clinics in Florida that focus on providing top-notch experience to our patients with a definite empathetic approach and understanding of the situations they are going through.
**What You'll Do**:
- Engage in meaningful insurance discussions with clients
- Speak with patients virtually to explain the benefits of their coverage based on the treatment plan recommended
- Provide exceptional customer service and build strong patient relationships
- Review chart documentation to ensure the patient meets medical policy guidelines
- Prioritize incoming authorization requests according to the urgency and full cycle of referrals
- Obtain authorization via the payer website or by phone and follow up regularly on pending cases
- Initiate appeals for denied authorizations
- Respond to clinic questions regarding payer medical policy guidelines
- Contact patients to discuss authorization and insurance status
- Other duties as assigned, aligned with the job responsibilities
**What You'll Bring To The Team**:
- Strong spoken and written English C1+
- Experience in pain management and vein treatment
- 1+ Years of Experience in the healthcare industry
- Experience with procedure authorizations and insurance verification in any medical field
- Strong oral and written communication skills
- Willingness to learn and grow in a safe-pace environment
**We Offer You**:
- Opportunities to work in a fast-paced startup environment supportive of teamwork, ownership, and purpose.
- Flexible working environment (flexible working hours, working from our state-of-the-art office space in El Poblado).
- One-of-a-kind company values and teamwork culture as well as a meaningful mission and challenging work.
- Private health insurance for you plus a family member.
- A great discount on lunch with our partnered restaurants
Application Question(s):
- Could you please rate your English proficiency on a scale of 1 to 10?
- What is your salary expectation?
**Experience**:
- Insurance: 1 year (preferred)
