Patient Success Specialist

1 week ago

Manila, National Capital Region, Philippines Sysgen RPO, Inc. Full time ₱900,000 - ₱1,200,000 per year

Position: Patient Success Specialist

Work Set Up: 100% WFH

Employment Status: Independent Contractor

Equipment: To be provided by the client

About the client:

The client is one of the leading mental healthcare companies in the USA, with over 2,800 employees, and was founded by and is still led by clinicians. Having just launched a new mission to be America's most valued mental healthcare company, where our teams can fulfill their purpose and do their best work, where clients are treated with warmth and respect, and where communities benefit from access to high-quality care to heal and thrive in life, this company is ready for a new chapter.

About the Job

The Patient Success Specialist plays a vital role in delivering an exceptional experience. They are committed to providing outstanding service to both our clients and internal teams, acting as a key point of connection across the organization. With a proactive and solutions-oriented approach, the Patient Success Specialist partners closely with operations leadership, clinical staff, and teams across activation, billing, and claims to ensure every client feels supported and valued. Their dedication helps make the client a place where both care and collaboration thrive — for those seeking support and those providing it.

Key Responsibilities

Patient Coordination:

  • Respond promptly and professionally to participant inquiries via phone, messaging, or email.

  • Conduct timely follow-ups with participants identified as needing additional support.

  • Schedule appointments, collect copays, and ensure all patient information and documentation are accurate and current.
  • Serve as a liaison between patients, providers, and payers to facilitate timely care and accurate financial processes.
  • Collaborate with teammates to meet both individual and team performance goals.

Insurance Verification & Authorization:

  • Verify insurance coverage and patient eligibility before scheduled services.
  • Obtain prior authorizations and pre-certifications as required for specific procedures or services.
  • Communicate authorization status, coverage details, and limitations clearly to patients and clinical staff.

Medical Billing & Revenue Cycle Support:

  • Support patient billing processes, including charge entry and claims submission.
  • Review explanations of benefits (EOBs) and assist in resolving claim discrepancies or denials in coordination with the billing team.
  • Collect outstanding balances and assist patients in setting up payment plans when needed.

Compliance & Documentation:

  • Ensure compliance with HIPAA, insurance regulations, and internal billing policies.
  • Accurately document all billing activities, insurance verifications, and patient interactions within the electronic health record (EHR) and billing systems.

Qualifications:

  • Education: College education (BA, BS) preferred or equivalent experience in Behavioral Health /Healthcare customer service.
  • Experience: Minimum 2–3 years of experience in a medical office or healthcare setting with a focus on insurance, billing, or revenue cycle operations.
  • Proficiency in medical billing software and electronic health records (EHR).
  • Strong knowledge of insurance verification, authorizations, and payer guidelines (commercial and government plans).
  • Excellent verbal and written communication.
  • Strong attention to detail and organizational skills.
  • Ability to work independently and collaboratively in a fast-paced environment.
  • Empathetic and professional patient interaction.

Preferred Qualifications:

  • Certified Revenue Cycle Representative (CRCR) or equivalent certification.
  • Experience with Cerner and/or MedeAnalytics.

  • Patient Support Specialist

    1 week ago

    Manila, National Capital Region, Philippines InsideOut Full time ₱36,000 - ₱48,000 per year

    IMPORTANT ** WATCH THIS QUICK LOOM VIDEO ON HOW TO GET HIRED:JOB TITLEPatient Support SpecialistJOB IDCURICINDUSTRYMedicalLOCATIONLATAM / PHJOB STATUSFull TimeWORK SCHEDULE8:00am to 5:00pm / 9:00am to 6:00pm ESTSALARY$700/month + monthly and on-time bonusesTARGET START DATEASAPRole OverviewAbout the RoleThe client is looking for a dedicated and tech-savvy...

  • Patient Support Specialist

    1 week ago

    Manila, National Capital Region, Philippines Inside Out Full time $70,000 - $120,000 per year

    ** IMPORTANT ** WATCH THIS QUICK LOOM VIDEO ON HOW TO GET HIRED: JOB TITLE Patient Support Specialist JOB ID CURIC INDUSTRY Medical LOCATION LATAM / PH JOB STATUS Full Time WORK SCHEDULE 8:00am to 5:00pm / 9:00am to 6:00pm EST SALARY $700/month monthly and on-time bonuses TARGET START DATE ASAP ROLE OVERVIEW About the Role The client is looking for a...

  • Patient Support Specialist

    2 weeks ago

    Manila, National Capital Region, Philippines Inside Out Full time ₱36,000 - ₱48,000 per year

    ** IMPORTANT ** WATCH THIS QUICK LOOM VIDEO ON HOW TO GET HIRED: JOB TITLE Patient Support SpecialistJOB IDCURICINDUSTRYMedicalLOCATIONLATAM / PHJOB STATUSFull TimeWORK SCHEDULE 8:00am to 5:00pm / 9:00am to 6:00pm ESTSALARY$700/month + monthly and on-time bonuses TARGET START DATEASAP ROLE OVERVIEWAbout the RoleThe client is looking for a dedicated and...

  • Patient Support Specialist

    1 week ago

    Manila, National Capital Region, Philippines Buddle Full time ₱900,000 - ₱1,200,000 per year

    About UsBuddle was founded to address the growing demand for reliable and efficient staffing solutions across diverse industries globally. Our mission is to seamlessly connect businesses with skilled professionals, fostering long-term partnerships that benefit both parties. At Buddle, we prioritise trust, value, and sustainability in every staffing solution...

  • Patient Relations Specialist

    5 days ago

    Manila, National Capital Region, Philippines Amigas of Laguna Inc. Full time ₱300,000 - ₱600,000 per year

    VitalCheck Diagnostic, Inc. is seeking a Patient Relations Specialist to ensure seamless communication between our laboratory, patients, and healthcare providers. This key role requires exceptional interpersonal skills and a dedication to providing outstanding customer service. The ideal candidate will manage patient inquiries, resolve concerns and...

  • Patient Care Navigator

    2 weeks ago

    Manila, National Capital Region, Philippines PEARL Full time ₱1,200,000 - ₱2,400,000 per year

    Role: Patient Care NavigatorWork Arrangement: Fully remote, overlapping EST working hoursJob Type: Independent Contractor, Full-timeWork Schedule: 40 hours per week, Monday to Friday, 11:00 AM - 8:00 PM ESTLocations: RemoteAbout Pearl Talent:Pearl works with the top 1% of candidates from around the world and connects them with the best startups in the US and...

  • FB-HC002 | Patient Engagement Specialist

    2 weeks ago

    Manila, National Capital Region, Philippines PEARL Full time ₱900,000 - ₱1,200,000 per year

    Role: Patient Engagement SpecialistWork Arrangement: Fully remote, overlapping EST working hoursJob Type: Independent Contractor, Full-timeWork Schedule:Mon to Fri, 9:00 AM – 6:00 PM EST (flexibility to align with patient activity)Locations: Remote:About Pearl Talent::Pearl works with the top 1% of candidates from around the world and connects them with...

  • Patient Partnership Specialist

    2 weeks ago

    Manila, National Capital Region, Philippines Our Lady of Lourdes Hospital Full time ₱600,000 - ₱1,200,000 per year

    Job DescriptionThis role involves collaborating with leadership and cross-functional teams to develop and implement strategies that enhance Patient Experience. It requires coordination with various hospital departments to achieve and surpass patient satisfaction goals, as assessed through voluntary surveys.Job TypesFull-time, Fixed-termContract length3...

  • Patient Intake Coordinator

    6 days ago

    Manila, National Capital Region, Philippines Unlock HBA Full time ₱250,000 - ₱500,000 per year

    This is a remote position.Virtual Rockstar is hiring a Patient Intake Coordinator on behalf of a therapist-owned physical therapy company with over 20 clinics across Northern Arkansas.The Patient Intake Coordinator will be responsible for managing new patient referrals, building charts, coordinating with clinics, and ensuring all referral documentation is...

  • Insurance and Patient Coordinator

    2 days ago

    Manila, National Capital Region, Philippines Emapta Global Full time ₱350,000 - ₱550,000 per year

    Redefining Patient Care Through Trusted ExpertiseOur client isa growing oral surgery practicededicated to providing excellent patient care supported by precise insurance coordination and professional service. They are building a trusted environment where both staff and patients feel valued, supported, and cared for-making them an exciting team to be part of...