Healthcare Insurance Policy Analyst

hace 7 horas


Bogotá, Bogotá D.E., Colombia BruntWork A tiempo completo
Job Title: Eligibility and Benefits Specialist

Job Summary:
BruntWork is seeking an experienced Eligibility and Benefits Specialist to join our team. The ideal candidate will have a strong background in reviewing and interpreting healthcare insurance policies and will excel in communicating benefits information to clients.

Key Responsibilities:
  • Review and interpret healthcare insurance policies to ensure accurate understanding of client benefits.
  • Communicate clearly and effectively with clients regarding their eligibility and benefits, addressing any questions or concerns they may have.
  • Update and maintain billing software to reflect the latest insurance policy information, ensuring accuracy in client accounts.
  • Collaborate with internal teams to identify and resolve issues proactively before they impact clients.
  • Utilize problem-solving and critical thinking skills to assess complex situations and provide effective solutions.
  • Stay informed about changes in healthcare regulations and insurance policies to ensure compliance and accurate communication with clients.
  • Assist in training and supporting team members on eligibility and benefits processes and policies.
  • Document client interactions and maintain accurate records related to eligibility determinations and benefit explanations.

Requirements:
  • Bachelor's degree in healthcare administration, business, or a related field (preferred).
  • Minimum of 2 years of experience in reviewing and interpreting healthcare insurance policies.
  • Strong understanding of healthcare benefits, eligibility criteria, and billing processes.
  • Excellent communication skills, both written and verbal, with the ability to convey complex information in an understandable manner.
  • Demonstrated problem-solving and critical thinking skills to address client issues effectively.
  • Proficiency in billing software and relevant healthcare technology systems.
  • Detail-oriented with strong organizational skills and the ability to manage multiple priorities.
  • Ability to work independently and collaboratively within a team environment.

Perks:
  • HMO Coverage for eligible locations.
  • Permanent work from home.
  • Immediate hiring.
  • Steady freelance job.


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