Verification Specialist

JO 16790|Verification Specialist

Job Status: Part-time (20hrs/week)

Work Schedule: Flexible fixed schedule, Monday–Friday between 8:00 AM – 5:00 PM EST (e.g., combination of 8:00 AM – 12:00 PM and 1:00 PM – 5:00 PM shifts)

Why Choose Remote Staff?

• 100% Work from Home. No office-based setups. Manage your time efficiently and enjoy work-life balance.

• 18+ years in the remote work industry. We’ve helped more than 8K Filipinos establish virtual careers with international clients since 2007.

• Competitive and negotiable compensation (depending on skill level & experience)

• 100% coverage on Government Contributions Remittance* to SSS, Philhealth and Pag-ibig. Traditional employment set-ups cover only 50%, while you shoulder the other half as a salary deduction.

*Terms and conditions apply.

Reminders:

• Applying to Remote Staff is 100% FREE

• Processing your application is 100% FREE

• We will NEVER ask for placement fees, bank details, GCcash accounts, training fees, reservation fees, or any form of payment

We are seeking an experienced, detail-oriented Medical Insurance Verification Specialist to manage health insurance verifications, clarify patient benefits, and ensure seamless administrative workflows for our growing group practice. Reporting directly to the Practice Owner, this role is critical to verifying coverage for new and existing clients, calculating patient financial responsibility, and maintaining accurate billing data within our client portal.

Key Responsibilities

• Insurance Verification & Patient Benefits: Conduct thorough daily health insurance verifications over the phone with insurance providers. Verify active coverage, deductibles, copays, coinsurance, and overall patient financial responsibility.

• CPT Code & Coverage Review: Review and confirm benefits using CPT codes and medical billing details (mental health insurance knowledge preferred).

• Session Tracking & Monitoring: Audit active client files to track remaining covered sessions, identify insurance coverage terminations, and update practice records accordingly.

• Portal & Record Maintenance: Enter accurate verification notes and coverage details into the TherapyAppointment client portal and maintain updated internal Google Sheets tracking documents.

• Direct Communication: Maintain regular, transparent daily updates with the Practice Owner to provide status reports, clarify edge cases, and ensure clear alignment on client intake needs.

Required Qualifications & Skills

• Experience: Minimum of 3+ years in medical insurance verification, healthcare administrative services, or revenue cycle management (experience in a mental health or group counseling practice setting is a plus).

• Insurance Knowledge: Strong background in health insurance terms, CPT codes, deductibles, copayments, out-of-pocket maximums, and pre-authorization/session tracking.

• Compliance: Certified or thoroughly trained in HIPAA compliance and strict patient privacy regulations.

• Communication Skills: Excellent verbal English communication skills for handling phone calls with insurance carriers and communicating directly with practice leadership.

• Technical Proficiency: Experience using client portals (preferably TherapyAppointment) and proficiency with Microsoft Office / Google Workspace (Google Sheets).
• Work Style: Proactive, organized, and comfortable operating under direct hands‑on supervision in a part‑time remote setting.

Note: Please prepare your Government IDs (TIN, SSS, Philhealth, Pag‑ibig) as part of the application and placement process. In the event of placement to a contract with a client, you will be required to submit a copy of your BIR 2303 (Certificate of Registration) as part of compliance with government regulations.