A1M Solutions

US Healthcare Insurance Supervisor | WFH | L-CM

Makati, Metro Manila, Philippines

Not SpecifiedCompensation
Junior (1 to 2 years)Experience Level
Full TimeJob Type
UnknownVisa
HealthcareIndustries

Requirements

Candidates should possess at least 2 years of Business Process Outsourcing (BPO) experience in a Healthcare Account, demonstrating knowledge of US Healthcare Insurance, Medicare/Medicaid, and related items. Strong experience as a Subject Matter Expert (SME) or Team Lead (TL) is preferred, along with a Medical or Allied Health graduate degree. Excellent verbal and written English communication skills are required, and candidates must reside within the Greater Manila Area (GMA) and be amenable to working night shifts.

Responsibilities

The US Healthcare Insurance Supervisor will be responsible for processing initial or pre-authorization requests via phone or email, communicating with insurance providers to determine authorization, coordinating with US healthcare facilities and insurance providers, processing verification of member benefits, reviewing member clinical records, and conducting coaching for skill development to agents.

Skills

US Healthcare Insurance
Medicare
Medicaid
Pre-Certifications
Authorizations
Appeals
Claims
Verbal and written communication

A1M Solutions

Design and data support for government healthcare

About A1M Solutions

A1M Solutions specializes in providing design, data, and policy-informed support for government healthcare programs, with a focus on serving disadvantaged populations. The company leverages expertise in government healthcare programs, data analysis, and policy/legislation to design effective business strategies and enhance digital service delivery, utilizing agile research and insights to untangle complex problems and generate thoughtful solutions.

Key Metrics

Chico, CA, USAHeadquarters
2018Year Founded
VENTURE_UNKNOWNCompany Stage
Consulting, Social ImpactIndustries
11-50Employees

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