Medical Insurance Verification Specialist
3 days ago
Medical Insurance Verification Specialist (Spanish Bilingual) Work set-up: Onsite and Nightshift. Site: 1880 Building, Eastwood, Libis, Quezon City. Location: Libis, Quezon City. Type: Permanent / Full Time. Job Summary: The Patient Account Representative II performs intermediate insurance verification and authorization duties with a growing level of responsibility. In addition to verifying insurance, this position coordinates with clinical departments to ensure accurate scheduling for covered services, resolves moderate issues with payers, and supports pre‑visit readiness for patients. Key Responsibilities Perform detailed insurance verification for outpatient and in‑office procedures. Identify and flag non‑covered services or potential coordination of benefits issues. Initiate and follow up on prior authorization requests, including appeals if necessary. Maintain organized tracking logs for authorizations and coverage status. Communicate coverage details to patients and collect out‑of‑pocket estimates if applicable. Serve as a subject matter resource to Patient Account Rep I staff. Work insurance queues to resolve pre‑service issues that may delay care. Report payer trends or systematic verification issues to leadership. Must‑have Qualifications Spanish/English bilingual (phone‑ready) Healthcare experience in one or more of the following: Insurance eligibility/benefits verification Referrals/prior authorizations (RBMs like eviCore/Carelon/NIA) Payer portals and benefits lines, EOBs, COB EMR/PM experience (eCW preferred, others OK) Basic understanding of CPT/ICD‑10, POS 11, specialist copay vs deductible/coinsurance Strong phone etiquette, documentation accuracy, and HIPAA awareness 3+ years of experience in a medical office or insurance verification role. Nice‑to‑Have Qualifications Experience working with centralized call centers or outsourcing teams Benefits Competitive Rewards : above‑market compensation, healthcare coverage on day one, dependent coverage, paid time‑off with cash conversion, group life insurance, performance bonuses Work‑Life Harmony : flexible work arrangements Career Growth : continuous learning and advancement opportunities A Collaborative Spirit : company‑sponsored events and activities Inclusive Teamwork : diversity and inclusive culture About MicroSourcing MicroSourcing is a leading provider of managed services in the Philippines with over 9,000 professionals across 13 delivery centers. Our commitment to diversity and inclusion is reflected in our culture that celebrates every individual's contributions. We are proud to foster an inclusive environment that embraces individuals of all races, genders, ethnicities, abilities, and backgrounds. For more information, visit #J-18808-Ljbffr
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Insurance Verification Specialist
2 weeks ago
, , Philippines Celebrate Dental & Braces Full timeWe’re looking for a detail-oriented Insurance Verification Specialist to join our growing team! This role is perfect for someone who is organized, communicates clearly in English, and enjoys working with data and accuracy. What You’ll Do Verify patient insurance eligibility and benefits accurately and efficiently Communicate with insurance carriers and...
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Insurance Verification Representative
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, , Philippines Med-Metrix, LLC Full timeJob Description Join our dynamic team and make a meaningful impact in the healthcare industry. Enjoy competitive benefits upon hire, ongoing professional development, and the satisfaction of helping others every day. Take the next step in your career with Med-Metrix! Benefits of joining Med-Metrix include: Day 1 HMO with 2 dependents covered for FREE...
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Verification of Benefits
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Philippines Kinetic Innovative Staffing Full time ₱540,000 per yearVerification of Benefits (VOB) SpecialistClient: USA; RemoteShift: Night / Graveyard PHTType: Full Time; Independent ContractorThe Verification of Benefits (VOB) Specialist plays a critical role in Value Care Associates' revenue cycle by ensuring that providers and patients have accurate, up-to-date information regarding insurance coverage and benefits. This...
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Background Verification Specialist
3 days ago
, , Philippines CheckMinistry Full timeBackground Verification Specialist at CheckMinistry Position Type: Full-Time Open Roles: 02 The Background Verification Specialist will conduct employment background screening using a variety of research methodologies, tools, and communication channels to ensure exceptional client satisfaction. Comprehensive job training will be provided. Responsibilities...
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Background Verification Specialist
4 weeks ago
, , Philippines CheckMinistry Full timeOverview Background Verification Specialist role at CheckMinistry. Direct message the job poster from CheckMinistry. Position Type: Full-Time Open Roles: 02 Scope of Position: The Background Verification Specialist will perform employment background screening. This involves utilizing a range of research methodologies and tools and leveraging calls,...
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, Pampanga, Philippines Connext Global Solutions Inc Full timeOverview Join Our Team as a Senior Medical Billing Specialist! The Medical Billing Specialist is responsible for ensuring accurate insurance verification, payment posting, and billing support for the ophthalmology practice. This role ensures accuracy in billing processes, compliance with HIPAA standards, and contributes to the efficiency of the revenue...
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MEDICAL PROCESSING OFFICER
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, Metro Manila, Philippines Marine Medical Services Full timeJOB REQUIREMENTS: Candidate must possess a Bachelor's Degree. Fresh graduates are encouraged to apply. A Medical Allied Degree holder is a plus. Must have good command of the English language. Willing to undergo training prior to employment. To work in a Maritime Clinic. JOB RESPONSIBILITIES: Assessing patients in need of medical care. Assisting and...
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Medical-Legal Documentation Specialist
3 days ago
, , Philippines Staffing For Doctors Full timeOverview The Medical-Legal Documentation Specialist provides high-quality administrative and clinical documentation support to ensure accurate, timely, and compliant workers' compensation reports. This role combines medical scribing, case documentation, and legal understanding to support physicians and case managers working with injured or behaviorally...
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Medical-Legal Documentation Specialist
1 week ago
Philippines Staffing for Doctors Full time ₱250,000 - ₱500,000 per yearOverview:The Medical-Legal Documentation Specialist provides high-quality administrative and clinical documentation support to ensure accurate, timely, and compliant workers' compensation reports. This role combines medical scribing, case documentation, and legal understanding to support physicians and case managers working with injured or behaviorally...
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INSURANCE SPECIALIST
3 weeks ago
, , Philippines Metrobank Full timePress Tab to Move to Skip to Content Link Here at Metrobank, we don't simply hire employees—we hone future leaders. We provide opportunities that enhance your skills and unlock your talents, helping you evolve into a well-rounded individual. We supply you with all the pieces you need to do your best work, unleashing your full potential to help you secure...
