Especialista de Verificación de Seguros

Distro

Medellín, Antioquia permanent

Posted: February 20, 2026

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Quick Summary

Verifies the eligibility and benefits of insurance plans, validates the medical provider's in-network status, and confirms coverage via phone or online portals for home visits or in-clinic appointments.

Required Skills

English Proficiency Process Stabilization Attention to Detail Communication Skills Team Collaboration Multi-System Navigation

Job Description

Importante empresa del sector de seguros de salud busca un/a Especialista en Verificación de Seguros para unirse a nuestro equipo centralizado de verificación de seguros.
Horario: Lunes a Viernes (9:00 AM - 6:00 PM)
Responsabilidades principales:
• Verifica la elegibilidad y los beneficios de los seguros, asegurando que los planes estén activos.
• Valida que el médico que atenderá al paciente esté dentro de la red (in-network) de su seguro específico.
• Confirma la cobertura de los pacientes vía telefónica o por portales web para visitas domiciliarias o en consultorio.
• Gestiona la comunicación con consultorios médicos, aseguradoras y pacientes para obtener información actualizada sobre seguros y referidos.
• Documenta de forma detallada y clara los beneficios de la cobertura en el expediente del paciente.
Requisitos:
• Nivel AVANZADO de idioma INGLÉS.
• Habilidad para navegar y operar múltiples sistemas de software simultáneamente.
• Capacidad para seguir flujos de procesos de manera efectiva y rigurosa.
• Orientación al detalle y alta precisión en el manejo de información.
• Excelentes habilidades de comunicación y colaboración en equipo.
• 1 año de experiencia en el sistema de salud o seguros de Estados Unidos (DESEABLE).

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