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Medical Insurance Verification Specialist - Us Market

Oasis Outsourcing

full time Nairobi Posted 3 days ago

KES 130,000 – KES 180,000

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.

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