Financial Operations Coordinator

4 days ago

Karachi, Sindh, Pakistan beBeeInsurance Full time 550,000 - 700,000
Job Title:

Healthcare Insurance Specialist

About the Role:

This is a full-time onsite position requiring the selected candidate to work night shifts aligned with U.S. Central Time, designed to support the healthcare insurance process for Psychiatry and Behavioral Health billing under U.S. healthcare systems.

The Associate – Healthcare Insurance Specialist will be responsible for obtaining accurate patient insurance benefit information, verifying coverage, identifying authorizations/referrals, and ensuring proper documentation to streamline the revenue cycle.

Key Responsibilities:
  • Verify patient insurance eligibility and benefits for psychiatric services via insurance portals and payer contact.
  • Identify primary/secondary insurances, including Private Insurance, Dependent Insurance, Medicare, and Medicaid plans.
  • Determine whether the case requires prior authorizations or referrals as per payer guidelines and document accordingly.
  • Review Coordination of Benefits (COB) and notify patients if updates are required.
  • Clearly communicate financial responsibilities to patients, including deductibles, co-pays, co-insurance, and update patient profiles accordingly.
  • Demonstrate proficiency in insurance verification portals such as Availity, Navinet, UHC, etc.
  • Ensure that insurance contracts and payer-specific agreements are taken into account during verification.
  • Maintain up-to-date and accurate patient demographic information in the billing/EMR systems.
  • Collaborate with patients and internal departments to gather all necessary information before scheduled appointments.
  • Liaise with insurance carriers directly when online eligibility verification is not possible.
  • Collect and forward eligibility, termination, and insurance resource information to the Billing Department for accurate claim processing.
  • Answer queries from patients, front-office staff, and insurance representatives regarding eligibility, benefits, and payment obligations.
  • Investigate and resolve patient or insurance-related complaints related to insurance verification or coverage issues.
  • Ensure strict compliance with HIPAA and patient confidentiality regulations.
Requirements:
  • Intermediate/A-levels and/or Bachelor's degree in Healthcare Administration, Finance, or a related field (preferred).
  • night shifts aligned with U.S. Central Time
  • 1–2 years of experience in U.S. medical insurance verification, preferably in Psychiatry or Behavioral Health RCM.
  • Strong working knowledge of insurance verification processes, eligibility rules, COB, and prior authorization protocols.
  • Familiarity with insurance portals (e.g., Availity, Navinet, UHC Provider Portal, etc.).
  • Ability to interpret payer-specific guidelines and insurance contracts.
  • Proficient in using EMRs and medical billing systems.
  • Excellent communication skills (verbal and written) in English.
  • Proficiency in MS Excel, Google Sheets, and basic documentation/reporting tools.

Location: Karachi Division

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