Insurance Verification Representative
2 days ago
Posted Sunday, March 16, 2025 at 4:00 AM
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
Experience these exceptional benefits when you join Med-Metrix
- Day 1 HMO with 2 of your dependents covered for FREE
- Clothing Allowance
- Free Lunch Daily
- Paid Time Off
- Training and Staff Development
- Employee Engagement Activities
- Opportunities for Internal Mobility
Job Purpose
The Insurance Verification Representative is responsible for obtaining and providing accurate and complete data input for insurance verifications in clients' host systems.
Duties and Responsibilities
- Utilize payer web portals to obtain patients' current insurance information and update the information in the client system.
- Verify insurance information against patient's insurance cards scanned in client system and ensure the correct and most up-to-date information is on the patient's account.
- Once updates are entered in client system, follow procedure on filing the claims.
- Comment all actions taken in internal and client host system.
- Work independently from assigned work queues.
- Meet and maintain daily productivity/quality standards established in departmental policies.
- Adhere to the policies and procedures established for the client/team.
- Communicate effectively with leadership.
- Maintain a professional attitude.
- Other duties as assigned by the management team.
- Use, protect and disclose patients' protected health information (PHI) only in accordance with Health Insurance Portability and Accountability Act (HIPAA) standards.
Qualifications
- High school diploma or equivalent required.
- Insurance Verification process knowledge.
- Experience with practice management software: GE Centricity, EPIC PB, Cerner, Allscripts preferred.
- Knowledge of individual payor websites, including eviCore, Navinet and Novitasphere.
- Ability to work well individually and in a team environment.
- Strong organizational and task prioritization skills.
- Proficiency with MS Office. Must have basic Excel skillset.
- Strong communication skills/oral and written.
- Strong organizational skills.
Working Conditions
- Work Set-Up: Onsite
- Work Schedule: Night shift, US hours
Physical Demands: While performing the duties of this job, the employee is occasionally required to move around the work area; sit; perform manual tasks; operate tools and other office equipment such as computer, computer peripherals and telephones; extend arms; kneel; talk and hear.
Mental Demands: The employee must be able to follow directions, collaborate with others, and handle stress.
Work Environment: The noise level in the work environment is usually minimal.
Med-Metrix will not discriminate against any employee or applicant for employment because of race, color, religion, sex (including pregnancy, gender identity, and sexual orientation), parental status, national origin, age, disability, genetic information (including family medical history), political affiliation, military service, veteran status, other non-merit based factors, or any other characteristic protected by federal, state or local law.
#J-18808-Ljbffr-
Insurance Verification Specialist
2 days ago
Pasig, National Capital Region, Philippines Med-Metrix, LLC Full timeJob DescriptionAs a key member of our team at Med-Metrix, LLC, the Insurance Verification Representative plays a vital role in ensuring accurate and complete data input for insurance verifications in clients' host systems. This position requires strong organizational skills, attention to detail, and effective communication abilities.Main...
-
Insurance Verification Supervisor
3 days ago
Pasig, National Capital Region, Philippines Med-Metrix Full timeAbout the RoleThe Insurance Verification Supervisor will be responsible for monitoring and overseeing the daily activities of the insurance verification team, including inventory management, monitoring of process KPI's, communicating appointment scheduling changes front-desk leadership and monitoring productivity and quality.This role requires strong...
-
Insurance Verification Team Lead
4 days ago
Pasig, National Capital Region, Philippines Med-Metrix, LLC Full timeJob DescriptionThe Operations Supervisor is responsible for overseeing the daily activities of the insurance verification team, including monitoring process KPIs and communicating appointment scheduling changes.Monitors all pieces of insurance verification work-flow, including inbound forms of account referral and daily team throughput.Ensures all process...
-
Healthcare Insurance Verifier
2 days ago
Pasig, National Capital Region, Philippines Med-Metrix, LLC Full timeJob SummaryWe are seeking an experienced Insurance Verification Representative to join our team at Med-Metrix, LLC. In this role, you will be responsible for obtaining and providing accurate and complete data input for insurance verifications in clients' host systems.Primary Duties:Obtain patients' current insurance information through payer web portals and...
-
Patient Insurance Information Manager
2 days ago
Pasig, National Capital Region, Philippines Med-Metrix, LLC Full timeAbout the RoleThe Insurance Verification Representative will play a crucial role in supporting our clients' healthcare needs at Med-Metrix, LLC. The successful candidate will be responsible for ensuring accurate and complete data input for insurance verifications in clients' host systems.Main Responsibilities:Utilize payer web portals to gather patients'...
-
Pasig, National Capital Region, Philippines Med-Metrix, LLC Full timeJob OverviewThe Insurance Verification Representative is an integral part of our dynamic team at Med-Metrix, LLC. The primary objective of this role is to provide accurate and timely insurance verification services to clients, ensuring seamless integration with their host systems.Key Responsibilities:Perform thorough research and verification of patients'...
-
Customer Service Representative
23 hours ago
Pasig, National Capital Region, Philippines Metacom Full timeAt Metacom, we are seeking a skilled Customer Service Representative to join our team. In this role, you will be responsible for managing inbound and outbound phone activity from multiple accounts and end users for insurance verification.Key Responsibilities:Manage inbound and outbound phone activity from multiple accounts and end users for insurance...
-
Insurance Verification Representative
23 hours ago
Pasig, National Capital Region, Philippines Med-Metrix, LLC Full timeQualifications and RequirementsBachelor's degree or equivalent required.Minimum 2-3 years of experience in healthcare or physician's office related field.Medical terminology knowledge required.Knowledge of individual payor websites, including EviCore, Navinet, and Novitasphere.Extensive knowledge of Medical Terminology, CPT Codes, Modifiers, and Diagnosis...
-
Insurance Inquiry Specialist
20 hours ago
Pasig, National Capital Region, Philippines Metacom Full timeMetacom is looking for an experienced Insurance Inquiry Specialist to handle customer inquiries and provide support via phone. As an Insurance Inquiry Specialist, you will be responsible for providing accurate and timely information to customers regarding their insurance policies and claims.Job Description:Manage inbound and outbound phone activity from...
-
Healthcare Insurance Representative
4 days ago
Pasig, National Capital Region, Philippines Global Integrated Contact Facilities Full timeAt Global Integrated Contact Facilities, we're committed to delivering exceptional customer experiences. As a Customer Service Representative in our local health insurance account, you'll play a vital role in helping us achieve this goal.To succeed in this position, you'll need to possess a strong foundation in medical knowledge and/or experience working...
-
Customer Service Representative
7 days ago
Pasig, National Capital Region, Philippines Metacom Full timeJob DescriptionWe are seeking a highly skilled and courteous Customer Service Representative to join our team at Metacom. In this role, you will be the first point of contact for our guests, providing exceptional service and ensuring their stay with us is memorable.Responsibilities:Schedule appointments correctly by reviewing appointment date, time,...
-
Virtual Front Desk Representative
1 week ago
Pasig, National Capital Region, Philippines Vector Outsourcing Solutions Philippines Full timeVirtual Front Desk Representative (Healthcare)Vector Outsourcing Solutions PhilippinesSalary: 30,000- 50,000 PHP/ monthJob Type: Hybrid - Pasig, Part-timeExperience: 1-3 Yrs, BachelorJob DescriptionResponsibilities:Responding to chats, inbound calls, and outbound calls to patients, providers, and Healthcare Insurance companies regarding inquiries,...
-
Insurance Service Representative
15 hours ago
Pasig, National Capital Region, Philippines MicroSourcing International, Inc. Full timeSalary & BenefitsWe offer competitive rewards, including above-market compensation, healthcare coverage on day one, plus one or more dependents, paid time-off with cash conversion, group life insurance, and performance bonuses.This comprehensive benefits package ensures our employees enjoy a great work-life balance.
-
Front Desk Manager
4 days ago
Pasig, National Capital Region, Philippines Med-Metrix, LLC Full timeJob Title: Insurance Verification Team LeadThis role involves leading a team of insurance verification specialists and ensuring that all processes are running smoothly. The ideal candidate will have a proven track record of improving efficiency and productivity.Responsibilities:Lead the insurance verification team to achieve business objectives.Develop and...
-
Insurance Information Coordinator Specialist
23 hours ago
Pasig, National Capital Region, Philippines Med-Metrix, LLC Full timeJob OverviewMed-Metrix, LLC is a dynamic and growing healthcare company that seeks an experienced Insurance Information Coordinator to support our Collections and/or Denial Management department.This role involves gathering and disseminating information from hospitals and insurance companies pertaining to referred claims. The ideal candidate will possess...
-
Authorization Representative
1 day ago
Pasig, National Capital Region, Philippines Med-Metrix, LLC Full timeJob DescriptionPosted Sunday, March 16, 2025 at 4:00 AMJoin 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-MetrixExperience these exceptional benefits when you join...
-
Insurance Information Coordinator
2 weeks ago
Pasig, National Capital Region, Philippines Med-Metrix Full timeJob DescriptionPosted Monday, March 17, 2025 at 4:00 AMJoin 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-MetrixExperience these exceptional benefits when you join...
-
Operations Supervisor
4 days ago
Pasig, National Capital Region, Philippines Med-Metrix, LLC Full timeJob OverviewWe are seeking an experienced Operations Supervisor to lead our insurance verification team. The successful candidate will have a strong background in medical authorization and patient access.Main Responsibilities:Oversee the daily activities of the insurance verification team.Analyze and report on team performance metrics.Collaborate with the...
-
Insurance Information Coordinator
1 day ago
Pasig, National Capital Region, Philippines Med-Metrix, LLC Full timeJob DescriptionPosted Monday, March 17, 2025 at 4:00 AMJoin 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-MetrixExperience these exceptional benefits when you join...
-
Healthcare Support Professional
7 days ago
Pasig, National Capital Region, Philippines Metacom Full timeAbout MetacomMetacom is a leading healthcare provider dedicated to delivering exceptional patient-focused service.Job DescriptionWe are seeking a highly skilled and compassionate Customer Service Representative to join our team. As a key member of our front desk staff, you will be responsible for providing a positive impression of our organization by...