Benefits Verification Associate (SDQ) at Hire Horatio CX

Santo Domingo, Distrito Nacional, Dominican Republic -

Full Time

Start Date

Immediate

Expiry Date

04 Sep, 26

Salary

0.0

Posted On

06 Jun, 26

Experience

0 year(s) or above

Remote Job

Yes

Telecommute

Yes

Sponsor Visa

Skills

Insurance Verification, Prior Authorizations, Medical Billing, Customer Service, Financial Calculation, Written Communication, Verbal Communication, Attention To Detail, Problem Solving, Patient Records Management

Industry

Outsourcing and Offshoring Consulting

Description

Position Summary We’re looking for a Benefits Verification Specialist to help our patients navigate their healthcare journey. You'll be the ultimate go-between for patients, doctors, and insurance companies. From securing quick treatment approvals to breaking down out-of-pocket costs, your work ensures that patients can focus on what actually matters: getting better. Responsibilities Conduct thorough coverage checks and eligibility verifications with health insurance carriers. Initiate, submit, track, and secure prior authorizations for patient medications and treatment plans. Calculate and communicate patient financial responsibilities. Efficiently manage a high volume of support tasks and messages, ensuring timely follow-ups and resolution of insurance-related barriers. Strong written and verbal communication skills, with the ability to explain complex insurance and financial details clearly and empathetically to patients. Exceptional attention to detail when navigating patient records. Proactive mindset with a proven ability to independently investigate coverage denials and troubleshoot pharmacy or insurance delays. Education & Experience 1–2 years of experience in health insurance verification, prior authorizations, medical billing, or a medical customer service role. 1-2 years of experience in an administrative and/or customer-facing role. Benefits: Insurance under ARS Humano Royal Plan (Option to upgrade to Max Royal Plan) Free snacks every day Free catered lunch every day Free catered dinner (for those on night shifts) Door-to-door transportation after 9:00 PM Happy hour on Fridays Holiday parties! An amazing, unique office environment (no cubes, no assigned workstations!) Growth and development opportunities (the most in the industry!) Professional development courses by leading business schools like BARNA Yoga and workout classes (coming soon!) Community service opportunities (#HoratioCares) Discounts at local restaurants and stores Life At Horatio: Horatio is changing the way people experience life at work. Yes, that’s right - working at Horatio is much different than anywhere you’ve ever worked. Here’s what makes our vibe different: Employee First (but actually...): At Horatio, we are a family and that plays into everything we do. We know that our employees are the most important part of the team and we treat them as such! Just ask any member of our team about how different Horatio has been for them and why they love it so much! Or, feel free to check out our Instagram page hirehoratiord to see it for yourself. Whether it’s the free meals, concerts, clubs, yoga classes, or awesome office vibe, there’s something for everyone at Horatio! Cool Clients: We work with some of the fastest-growing and innovative companies in the world — and a lot of them are startups. That means no boring scripts and repetition. Instead, you will be challenged to provide clients with ideas, feedback, and new strategies based on what you are seeing each day. You’ll get to interact with clients directly too — it could be the head of the customer experience or even the CEO! Growth Opportunities: We’re a fast-growing company and have a lot of opportunities for new employees to grow within. A large number of our senior managers started as associates, proved themselves, and were promoted over and over again. If you are smart, hungry, and driven, the sky's the limit at Horatio! Wellness Program: Horatio is committed to spreading mental health awareness and promoting its importance. To take care of our people we have in-house clinical psychologists.

Responsibilities

The associate will conduct insurance coverage checks and secure prior authorizations for patient treatments. They are also responsible for calculating patient financial obligations and resolving insurance-related barriers.