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Cigna, Oasis Outsourcing, Pharmaplus Pharmacy, Pigeon Baby Lab Kenya Ltd, Valley HospitalProfession (Health care, medical)
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Seniority (Customer support, client care, Health care, medical)
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Oasis Outsourcing
Health care + 1 more
Description
Job Opportunity: Insurance Verification Manager
Are you an experienced leader in U.S. healthcare and insurance operations? Join us as an Insurance Verification Manager and play a key role in driving accuracy, efficiency, and quality across our insurance verification processes.
Schedule: Monday to Friday
- Shifts: 4:00 PM – 1:00 AM or 5:00 PM – 2:00 AM (Colombia time, UTC-5)
location: On site
What We’re Looking For:
- 2–3 years of experience in a supervisory or managerial role.
- 1–2 years of experience in U.S. healthcare or insurance operations (mandatory).
- Proven expertise in patient benefit and eligibility checks via insurance portals, clearinghouses, and direct payer contact.
- Strong leadership and coaching skills.
- Process-oriented mindset with analytical and data-driven decision-making.
- Advanced English proficiency (mandatory) – excellent written and spoken communication.
- Strong organizational and problem-solving abilities.
Responsibilities
Your Mission:
- Lead and develop teams of Insurance Verification Specialists, fostering a culture of accountability, collaboration, and continuous improvement.
- Manage performance: define and monitor KPIs such as accuracy, turnaround time, productivity, and SLA compliance.
- Optimize processes: enhance workflows, SOPs, and ensure compliance with U.S. healthcare and insurance requirements.
- Be the subject matter expert: provide guidance on patient benefits, eligibility checks, coverage limits, co-pays, deductibles, and pre-authorization requirements.
- Collaborate strategically with other departments to ensure outstanding customer service and operational success
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