Insurance Verification Representative

1 week ago


Manila, National Capital Region, Philippines Med-Metrix Full time

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

  • 8-Hour Shifts, Fixed Weekends Off
  • Day 1 HMO with 2 of your dependents covered for FREE
  • Medical Cash Allowance
  • Rice Allowance
  • 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.
  • Meets and maintains daily productivity/quality standards established in departmental policies.
  • Adheres 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

  • Manila, National Capital Region, Philippines MED-METRIX INTERNATIONAL PH-I, INC. Full time

    Experience these exceptional benefits when you join Med-Metrix8-Hour Shifts, Fixed Weekends OffDay 1 HMO with 2 of your dependents covered for FREEMedical Cash AllowanceRice AllowanceClothing AllowanceFree Lunch DailyPaid Time OffTraining and Staff DevelopmentEmployee Engagement ActivitiesOpportunities for Internal MobilityThe Insurance Verification...


  • Manila, National Capital Region, Philippines Virtual Rockstar Careers Full time

    At Virtual Rockstar Careers, we are seeking a detail-oriented Insurance Verification Specialist to join our client's growing team. As an integral part of our administrative operations, you will play a critical role in ensuring smooth communication between our client's practice, insurance providers, and patients.The ideal candidate will possess strong...


  • Manila, National Capital Region, Philippines Janie Health Full time

    Come join our amazing team and help us build an awesome toolWe are looking for several FANTASTIC Insurance Verification Specialists to join our fully remote team. This position is responsible for verifying dental insurance information for our patients to ensure accurate billing and eligibility. This is a super simple and easy role that requires patience and...


  • Manila, National Capital Region, Philippines Janie Full time

    Come join our amazing team and help us build an awesome toolWe are looking for several FANTASTIC Insurance Verification Specialists to join our fully remote team. This position is responsible for verifying dental insurance information for our patients to ensure accurate billing and eligibility. This is a super simple and easy role that requires patience and...


  • Manila, National Capital Region, Philippines Virtual Rockstar Careers Full time

    Insurance Verification Specialist - Virtual AssistantVirtual Rockstar is an industry-leading company based in Arizona that specializes in offloading administrative tasks from healthcare clinics to streamline operations. We hire specifically in the Philippines, aiming to build and strengthen families in the region through meaningful employment opportunities....


  • Manila, National Capital Region, Philippines ZIA Full time

    About the Role:ZIA is seeking a detail-oriented and experienced Dental Insurance Verification Specialist to join our team. In this role, you will be responsible for verifying insurance eligibility and ensuring accurate billing processes specifically for dental services. This is a fully remote position, offering flexibility and the opportunity to work with a...


  • Manila, National Capital Region, Philippines HANNAH JOY BERNARDO INSURANCE AGENT Full time

    Job DescriptionWe are seeking a highly motivated and detail-oriented Insurance Sales Representative to join our team as a Home-Based Business Opportunity. As an Insurance Agent, you will be responsible for selling insurance products to clients and providing excellent customer service.RequirementsBachelor's degree in any fieldMust be based in LuzonFresh...


  • Manila, National Capital Region, Philippines IQVIA SOLUTIONS OPERATIONS CENTER PHILIPPINES, INC. Full time

    Job OverviewIQVIA SOLUTIONS OPERATIONS CENTER PHILIPPINES, INC. is seeking a Data Verification Associate to join our team.The successful candidate will be responsible for maintaining reference data and performing research to validate its accuracy.Perform outbound phone verification of details on Organization and Prescriber records to validate accuracy of...


  • Manila, National Capital Region, Philippines Janie Health Full time

    About the RoleAs a Dental Insurance Verification Specialist at Janie Health, you will play a critical role in ensuring accurate billing and eligibility for our patients. This position involves verifying dental insurance information through various channels, including web portals, faxes, and direct communication with insurance companies.Key...


  • Manila, National Capital Region, Philippines Pioneer Your Insurance Full time

    Pioneer Your Insurance - A Leader in Insurance ServicesWe are a reputable insurance provider dedicated to delivering superior services to our clients. Our Sales Accounts Officer position offers a unique opportunity to join our team and contribute to our continued success.Responsibilities:Existing Account Management: Serve existing accounts, evaluate motor...


  • Manila, National Capital Region, Philippines HDFC Life Full time

    About the RoleWe are looking for a highly motivated and results-driven sales representative to join our team at HDFC Life. As a key member of our sales team, you will be responsible for managing front-line sales of Retirement and Pension solutions to corporate, retail, and individual clients.ResponsibilitiesDevelop and maintain partnerships and alliances to...


  • Manila, National Capital Region, Philippines Janie Health Full time

    Job DescriptionWe are seeking a skilled Dental Insurance Verifier to join our team at Janie Health. In this role, you will be responsible for verifying patient insurance coverage to ensure accurate billing and eligibility.ResponsibilitiesVerify patient insurance information through online portals, faxes, and direct communication with insurance...


  • Manila, National Capital Region, Philippines IQVIA SOLUTIONS OPERATIONS CENTER PHILIPPINES, INC. Full time

    Job Responsibilities:Complete maintenance of reference data (healthcare Organizations and Prescribers) as essential for US Production.Perform research such as Internet Search, Phone Verification, Database Matches, etc. to gather information from third parties that will validate the completeness or accuracy of the data.Perform outbound phone verification of...


  • Manila, National Capital Region, Philippines IQVIA SOLUTIONS OPERATIONS CENTER PHILIPPINES, INC. Full time

    Job Responsibilities:Complete maintenance of reference data (healthcare Organizations and Prescribers) as essential for US Production.Perform research such as Internet Search, Phone Verification, Database Matches, etc., to gather information from third parties that will validate the completeness or accuracy of the data.Perform outbound phone verification of...


  • Manila, National Capital Region, Philippines IQVIA SOLUTIONS OPERATIONS CENTER PHILIPPINES, INC. Full time

    Job Responsibilities:Complete maintenance of reference data (healthcare Organizations and Prescribers) as essential for US Production.Perform research such as Internet Search, Phone Verification, Database Matches and etc. to gather information from third parties that will validate the completeness or accuracy of the data.Perform outbound phone verification...


  • Manila, National Capital Region, Philippines Janie Health Full time

    Job OverviewWe are seeking a skilled Patient Eligibility Coordinator to join our team at Janie Health. In this role, you will be responsible for verifying patient insurance coverage to ensure accurate billing and eligibility.ResponsibilitiesVerify patient insurance information through online portals, faxes, and direct communication with insurance...


  • Manila, National Capital Region, Philippines NTT DATA, Inc. Full time

    Job DescriptionWe are seeking a highly skilled and customer-focused Insurance Service Representative to join our team. In this role, you will be responsible for providing exceptional phone support to policyholders, ensuring their satisfaction and resolving any issues they may encounter.The ideal candidate will have excellent communication skills, both...


  • Manila, National Capital Region, Philippines HANNAH JOY BERNARDO INSURANCE AGENT Full time

    Job SummaryHANNAH JOY BERNARDO INSURANCE AGENT is seeking an experienced Insurance Sales Representative to join our team as a Home-Based Business Opportunity. As an Insurance Agent, you will be responsible for selling insurance products to clients and building strong relationships with them.Key ResponsibilitiesSell insurance products to clientsBuild strong...


  • Manila, National Capital Region, Philippines Virtual Rockstar Careers Full time

    Virtual Rockstar Careers is seeking a dedicated and detail-oriented Patient Insurance Specialist. As a key member of our administrative team, you will be responsible for verifying patient insurance eligibility and benefits, managing insurance-related tasks, and supporting our administrative operations.The ideal candidate will have strong knowledge of...


  • Manila, National Capital Region, Philippines Med-Metrix Full time

    What You'll DoAs an Authorization Representative at Med-Metrix, you will be responsible for coordinating with insurance companies to secure pre-certification for our clients' healthcare services. This role requires strong communication skills, attention to detail, and the ability to work independently in a fast-paced environment. If you are passionate about...