Insurance Verification Specialist

hace 5 días


Colombia RVStaffing A tiempo completo

**RedValley**, the fast-growing company in Medellín, is looking for a talented, and strategic, _**Insurance Specialist **_ to join **Loop Medical Center**. We have partnered with an Interventional Pain, Vein, and Arthritis Management Clinic in Chicago, Illinois. The care team at Loop Medical Center prioritizes patients, listening to their stories and working to understand their pain. They use evidence-based therapy, offering the latest and most effective treatments for pain management.

**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
- 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
- 2+ 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.
- 50% discount on lunch with our partnered restaurant

**Salary**: $3,000,000 - $3,500,000 per month

Application Question(s):

- Could you please rate your proficiency in English on a scale of 1 to 10?



  • Colombia RVStaffing A tiempo completo

    **RedValley, the fastest-growing and coolest company in Medellín**, is looking for _Insurance Verification Specialist_, that are eager to grow and gain experience within the dental healthcare industry, to join our team. Your goal is to ensure the quality in our processes, verify services and manage software. An insurance verification specialist is a...


  • Colombia RVStaffing A tiempo completo

    RedValley, the fastest-growing and coolest company in Medellín, is looking for _Insurance Verification Specialist_, that are eager to grow and gain experience within the dental healthcare industry, to join our team. Your goal is to ensure the quality in our processes, verify services and manage software.An insurance verification specialist is a healthcare...

  • Insurance Specialist

    hace 2 meses


    Colombia RVStaffing A tiempo completo

    An insurance verification specialist is a healthcare professional working to ensure that patients’ health care benefits cover required procedures. He contacts a patient’s insurance company to verify coverage levels and works with individuals to educate them on their benefits information. He serves as a valued member of the healthcare team, helping...

  • Insurance Specialist

    hace 1 semana


    Colombia RVStaffing A tiempo completo

    An insurance verification specialist is a healthcare professional working to ensure that patients' health care benefits cover required procedures. He contacts a patient's insurance company to verify coverage levels and works with individuals to educate them on their benefits information. He serves as a valued member of the healthcare team, helping patients...


  • Colombia ttg Talent Solutions, Inc. A tiempo completo

    **JOB TITLE: Emissions Specialist** **DEPARTMENT: Emissions** **LOCATION: Medellín, Colombia** **SALARY: $600-650 USD (approx. $2,700,000 COP) per month** **JOB DESCRIPTION**: The Emissions Specialist will provide support to the emissions team and efficiently address the needs that arise in each policy. Working collaboratively with other departments...


  • Colombia Mordor Staffing A tiempo completo

    We are Mordor Staffing a concierge outsourcing for small to medium-sized USA businesses located in Medellin Colombia. We are not about getting people jobs, we get people careers. Our compensation packages are among the best for their respective positions in all of Colombia and for good reason. **Responsibilities**: - Managing policy documentation,...


  • Colombia ttg Talent Solutions A tiempo completo

    **Health Insurance Underwriting Specialist** **Medellín** **Description**: **Responsibilities**: - Medically underwrite risks presented by new and existing individual policies, adhering to health underwriting guidelines, procedures, and company standards. - Review pertinent medical history of applicants to assess the degree of risk and make acceptance...


  • Colombia ttg Talent Solutions A tiempo completo

    **Health Insurance Underwriting Specialist** **Medellín** **Description**: **Responsibilities**: - Medically underwrite risks presented by new and existing individual policies, adhering to health underwriting guidelines, procedures, and company standards. - Review pertinent medical history of applicants to assess the degree of risk and make acceptance...


  • Colombia ttg Talent Solutions, Inc. A tiempo completo

    **Title: Junior Operations Specialist** **Commercial Location: Medellín, Colombia.** **Classification: Full Time.** **Responsibilities**: - Group Eligibility (Additions, Cancellations, and Modifications). - Creating New Groups in the System. - System. - Generate Group Welcome Kits. - Renewal of Groups in the system. - Account reconciliation with...


  • Colombia ttg Talent Solutions A tiempo completo

    Health Insurance Underwriting SpecialistMedellínDescription:Responsibilities: Medically underwrite risks presented by new and existing individual policies, adhering to health underwriting guidelines, procedures, and company standards. Review pertinent medical history of applicants to assess the degree of risk and make acceptance decisions under established...

  • Collection Specialist

    hace 2 semanas


    Colombia Behavior Education Services Team A tiempo completo

    The collection specialist is responsible for ensuring accurate billing, timely submission of electronic and/or paper claims, monitoring claim status, researching rejections and denials, documenting related account activities, posting adjustments and collections of different insurance payers. The collection specialist must possess critical thinking skills and...


  • Colombia RVStaffing A tiempo completo

    **Dental Billing Specialist** Dental insurance billers are responsible for - maintaining current insurance practices, requirements, and forms; verifying claims are going out clean and proper reimbursement is received for services provided; processing and following up insurance claims; and documenting and coding information, interpreting dental records....


  • Colombia RVStaffing A tiempo completo

    Dental Billing SpecialistDental insurance billers are responsible for - maintaining current insurance practices, requirements, and forms; verifying claims are going out clean and proper reimbursement is received for services provided; processing and following up insurance claims; and documenting and coding information, interpreting dental records.Primary...

  • Retention Specialist

    hace 3 semanas


    Colombia ttg Talent Solutions, Inc. A tiempo completo

    **Retention Specialist (customer service retention)** **Medellin** **Full-time - permanent** **Salary depending on experience** At ttg Talent Solutions we are looking for a **Retention Specialist** to join one of our amazing clients. You will be in charge of providing support to the Commercial Area Management in the Customer Retention and/or Insured area....

  • Retention Specialist

    hace 1 semana


    Colombia ttg Talent Solutions, Inc. A tiempo completo

    **Retention Specialist (customer service retention)** **Medellin** **Full-time - permanent** **Salary depending on experience** At ttg Talent Solutions we are looking for a **Retention Specialist** to join one of our amazing clients. You will be in charge of providing support to the Commercial Area Management in the Customer Retention and/or Insured area....

  • Retention Specialist

    hace 5 días


    Colombia ttg Talent Solutions A tiempo completo

    **Retention Specialist** **Medellin** **Full-time - permanent** **Salary $3'500.000 COP + Commissions** At ttg Talent Solutions we are looking for a **Retention Specialist** to join one of our amazing clients. You will be in charge of providing support to the Commercial Area Management in the Customer Retention and/or Insured area. Achieve a high percentage...

  • Retention Specialist

    hace 2 meses


    Colombia ttg Talent Solutions A tiempo completo

    **Retention Specialist (customer service retention)** **Medellin** **Full-time - permanent** **Salary depending on experience** At ttg Talent Solutions we are looking for a **Retention Specialist** to join one of our amazing clients. You will be in charge of providing support to the Commercial Area Management in the Customer Retention and/or Insured...

  • Operations Specialist

    hace 2 semanas


    Colombia ttg Talent Solutions A tiempo completo

    **Title: Operations Specialist Corporate Groups.** **Location: Medellín, Colombia.** **Classification: Full Time.** Operations Specialist of Corporate Groups will be responsible for handling all the processes established in the area, readiness for the requested tasks, and excellent proactivity since it is a multifunctional position in the assigned tasks....

  • Retention Specialist

    hace 2 semanas


    Colombia ttg Talent Solutions A tiempo completo

    **Retention Specialist (customer service retention)** **Medellin** **Full-time - permanent** **Salary $3'200.000 COP** At ttg Talent Solutions we are looking for a **Retention Specialist** to join one of our amazing clients. You will be in charge of providing support to the Commercial Area Management in the Customer Retention and/or Insured area. Achieve...

  • Operations Specialist

    hace 2 semanas


    Colombia ttg Talent Solutions, Inc. A tiempo completo

    **Title: Operations Specialist Corporate Groups.** **Location: Medellín, Colombia.** **Classification: Full Time.** Operations Specialist of Corporate Groups will be responsible for handling all the processes established in the area, readiness for the requested tasks, and excellent proactivity since it is a multifunctional position in the assigned tasks....