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Medical Insurance Verification Agent - US Hours (Remote)

Remote: 
Full Remote
Contract: 
Freelance
Experience: 
Mid-level (2-5 years)
Work from: 
United States

Offer summary

Qualifications:

Experience in medical insurance verification, Knowledge of U.S. insurance processes required, Excellent English communication skills necessary, Proficiency in Microsoft Outlook and Word, Critical thinking abilities essential.

Key responsabilities:

  • Verify insurance benefits for patients
  • Gather critical information for acceptance or denial
  • Make informed decisions based on verified benefits
iSTA Solutions logo
iSTA Solutions Large https://istasolutions.com/
1001 - 5000 Employees
About iSTA Solutions
Welcome to Ista Solutions, your go-to remote staffing solutions provider. We understand the challenges businesses face when managing their workflows and finding the right people to execute their vision. That's why we exist—to be your dedicated partner in growth. Here are some reasons why our services are a must-have for your business: -We provide tailor-made workflow solutions that cater to your unique business requirements, helping you streamline your operations, reduce the turnaround time, and maximize efficiency. -Our agents are skilled, experienced, and solely focused on your company. They are trained to deliver outstanding results while working closely with your team and adhering to your company's culture. -We leverage our global resources to provide comprehensive support for your business, including technical assistance, billing services, and recruitment. This way, you can focus on growing your business while we take care of the back-end operations. At Ista Solutions, we believe in the power of building strong relationships with our clients. We strive to be your long-term partner in success, providing ongoing support and guidance to help you navigate through any challenges that may arise. We understand the importance of transparency and honesty in business. That's why we pride ourselves on being open, ethical, and straightforward in all our client interactions. Without Ista, healthcare companies commonly face: -Overburdened workforce -Increased demand for productivity -The need to reduce operational costs -The lack of specialized expertise in-house -Difficulty finding reliable remote staff We know that these problems can have a big effect on the growth and success of your business, which is why we're here to offer you complete remote staffing solutions. Whether you need customer service support, technical assistance, or a team of virtual assistants, we have the expertise to help you achieve your business goals.
See more iSTA Solutions offers

Job description

ISTA Personnel Solutions South Africa - we are a global BPO company, partnering with a US-based client, who is a leading healthcare provider. Their mission is to deliver high-quality care while ensuring seamless insurance verification for their patients.

As a Medical Insurance Verification Agent, you will be responsible for verifying insurance benefits for patients with various USA insurances. The main focus of the role is to gather critical information, which will determine whether a patient is accepted or denied. Over time, the role will evolve to include decision-making authority based on the verified benefits.

They are looking for a candidate who demonstrates strong critical thinking abilities, exceptional English communication skills, and experience with medical insurance verification processes.

NOTE:

  • Working Hours: This role requires you to work US based hours (EST) (15h00 - 24h00 SAST) Mon - Fri.
  • Work Environment: This is a remote role for South African Citizens only.
  • Internet: Applying candidates must have fast internet and an available electricity backup system during loadshedding.

Requirements

  • Experience: Must have insurance experience, with preference given to candidates with U.S. insurance knowledge, particularly in Managed Medicare and Commercial insurances.
  • Communication: Excellent English communication skills are mandatory (English as a first language preferred). Must possess strong conversational fluency, comprehension, and clear accent.
  • Skills: Proficient in basic computer operations including Microsoft Outlook and Word.
  • Critical Thinking: Critical thinking skills are essential, particularly when interpreting insurance details and making informed decisions.
  • Ability to work from home (WFH).

If you are not contacted within 14 working days, please consider your application unsuccessful.

Required profile

Experience

Level of experience: Mid-level (2-5 years)
Spoken language(s):
EnglishEnglish
Check out the description to know which languages are mandatory.

Hard Skills

Computer ProgrammingMedical Insurance ClaimsMedicare AdvantageHuman CommunicationInsurance LawCommercial InsurancesRemote Operation

Other Skills

  • Microsoft Outlook
  • Decision Making
  • Critical Thinking
  • Microsoft Word
Are you interested?

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