Verification of benefits and prior authorization
Metro Manila
Extensive knowledge of Medicare, Medicaid, commercial insurance plans, provider network verification, authorization management, and HIPAA compliance. Skilled in utilizing healthcare management systems to ensure accurate eligibility determination, timely authorization approvals, and seamless patient care coordination.
Intelassist, full_time
Nov 2023 to Present
Verify patient insurance eligibility, coverage, and benefits for healthcare services. Review insurance plans and ensure proper insurance sequencing and coordination of benefits. Collaborate with case managers, providers, and insurance companies to resolve coverage-related issues. Confirm provider network participation and authorization requirements before scheduled appointments. Maintain accurate documentation of insurance information and account activities. Ensure compliance with HIPAA regulations and organizational policies regarding protected health information (PHI). Support timely patient access to care through accurate and efficient insurance verification processes.