Insurance Verification Specialist

Clark Freeport, Philippines Full Time Business Development

About the Company

Cyzerg is a technology company specialized in the research, development, implementation, and management of technology solutions for the warehousing industry. With over 148+ active customers across North, Central and South America, Cyzerg has developed industry expertise and capabilities to increase business efficiency and competitiveness across its customer base.

With headquarter in Miami, FL and branches in the Philippines and India, the company credits its success to a relentless focus on its employees, customers and delivering excellence at all time. Anchor on a culture of meritocracy and on the pillars of opportunity, integrity, innovation, humanity, passion, teamwork & opportunity, Cyzerg’s culture & core values guide every aspect of the organization.

About the Job

We are looking for a well-organized Insurance Specialist to be involved in a wide range of support activities in our insurance and authorization department. You will also assist in creating policies, processes, and documents. Under this role, the Insurance Specialist will be working directly with one of our customers and delivering the tasks outlined in the responsibilities section – see below.

Responsibilities:

• Verify patient insurance coverage, ensuring accuracy and eligibility for proposed healthcare services.
• Prepare and submit comprehensive authorization requests to insurance companies with all required documentation.
• Collaborate with healthcare providers to gather relevant clinical information and facilitate the prior authorization process.
• Monitor the status of authorization requests, follow up with insurance companies, and maintain detailed records of communications.
• Investigate and address insurance denials, resubmitting requests and appealing denials when necessary.
• Communicate with patients to explain the prior authorization process, potential delays, and any financial responsibilities.
• Ensure compliance with healthcare regulations, privacy laws, and insurance company policies.
• Other insurance related tasks assigned.

Requirements:

• 1 to 3 years of experience in insurance verification and pre-authorization required.
• Must be able to work from 8am to 5pm EST.
• Must be able to handle sensitive information with confidentiality.
• Must be able to work in a fast paced, always growing/professional/competitive environment.
• Excellent verbal and written communication skills.
• Strong analytical and problem-solving skills.
• Strong attention to detail, multi-tasking, communication, and organizational skills are essential.
• Demonstrated ability to accurately perform data entry and pay close attention to detail.
• Paid medical insurance/HMO (Philcare) right from the first day!
• Get up to 15 days of paid time off, monthly short leaves, marriage leaves, and additional unpaid vacation leaves.
• Earn as much as PHP 13,500 from the employee referral program.
• Annual salary increases with a predictable percentage increase based on performance review.
• Annual year-end bonus and monthly bonuses based on performance.
• Happy Hour every Friday – Free meal every Friday with an extra hour of break time to bond with the team and participate in games and activities.
• Annual team-building – Shift gears and explore adventures with the team out of the office!
• Career development plans – We want you to grow and become the best at what you love.
• Casual wear in the office – Express your fashion or stay comfy!
• Flat organization with an open-door policy.
• Company-paid certifications and training.