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Healthcare Insurance Specialist at Remote Raven. About the Role. We are seeking a . Healthcare Insurance Specialist. with a strong background in . eligibility verification, claims processing, and enrollment management. . This role will involve working closely with patients, insurance carriers and internal teams to ensure smooth and accurate insurance workflows. . The ideal candidate is . detail-oriented, well-versed in healthcare insurance protocols. , and confident in navigating complex benefits, coverage issues, and claims follow-ups.. Key Responsibilities. . Verify . patient eligibility and benefits. with major insurance providers, with a focus on Aetna . . Process and follow up on . medical claims. , ensuring accuracy and compliance with payer requirements . . Manage . enrollment workflows. including updates and corrections . . Address . claim denials. and submit necessary appeals or adjustments . . Communicate with . patients and insurers. regarding coverage status, documentation, and billing questions . . Maintain up-to-date knowledge of . payer-specific policies and healthcare regulations. . . Ensure all records are accurate and comply with . HIPAA and company standards. . . Assist with reporting and audit preparation as needed . . Qualifications. . At least . 2 years of experience in healthcare insurance or medical billing roles. . . Strong understanding of . benefits eligibility, claims processing, and insurance billing practices. . . Familiarity with insurance workflows is strongly preferred . . Excellent . attention to detail and accuracy. in documentation and system entry . . Strong . communication skills. for both patient interaction and internal collaboration . . Ability to work independently and manage time effectively in a . remote setting. . . Familiarity with . HIPAA regulations and healthcare data privacy. . . This is a 100% Remote wok. Full time. Night shift. $5/hr. Rate will increase to $6/hr after training. Company Location: Philippines.