Insurance Verification Specialist

Posted:
4/7/2025, 5:02:03 PM

Location(s):
Metro Manila, Philippines ⋅ Manila, Metro Manila, Philippines

Experience Level(s):
Junior ⋅ Mid Level ⋅ Senior

Field(s):
Customer Success & Support

DUTIES and RESPONSIBILITIES

Essential and other important responsibilities and duties may include, but are not limited to the following:

Essential Functions:

  • Prepares and submits claims to various companies either electronically or via paper. Verify accuracy of billing data and revise any errors.
  • Maintains patient demographic information and data in EMR systems.
  • Verify insurance eligibility for medical insurance by utilizing online websites or by contacting the carriers directly.
  • Participates in trainings and attends staff meetings.
  • Maintains strict confidentiality; adheres to all HIPAA guidelines/regulations.
  • Computer skills, working knowledge of (e.g., Microsoft Word, Microsoft Excel, e-mail software).
  • Ability to be very flexible in accepting department assignments.
  • Skill and ability to function effectively and calmly in an unpredictable or stressful environment.
  • Participates in Quality Improvement. 
  • Completes mail to assigned clients
  • If applicable calling on payment status
  • If applicable working on unknown files
  • Complies with protocols in place