
Authorization & Eligibility Specialist (Onsite)
2 days ago
Snapscale is looking for an expert Authorization and Eligibility Specialist to perform the following functions:
- Verify insurance eligibility, benefits, exclusions, deductibles, co-pays, and co-insurance for occupational and speech therapy patients.
- Contact insurance providers to clarify discrepancies or misquoted benefits.
- Enter benefit details into forms and calculate patient responsibility (worst- and best-case coverage scenarios).
- Complete good-faith estimates.
- Check, submit, and track therapy authorization requirements.
- Ensure all services have valid authorizations to prevent denials.
- Upload and process data from E-Bridge Software; maintain accurate and updated EMR records.
- Review medical records to confirm authorization and eligibility accuracy.
- Use medical terminology and coding knowledge for eligibility and authorizations.
- Re-verify insurance coverage based on denial codes.
- Protect patient confidentiality and comply with HIPAA regulations.
- Work with providers and staff to resolve authorization and billing issues.
- Perform follow-up tasks related to billing as directed by the Senior Medical Billing & RCM Manager.
- 5+ years of experience handling insurance authorizations, eligibility, and benefits verification for OT, PT, and SLP clinics (pediatrics preferred)
- Proficient in insurance portals, calling insurers, and EMR data entry
- Ideal candidate has experience with Fusion Web Clinic EMR (Therapy Brands)
- Background in private practice settings preferred
- Strong medical terminology, anatomy, and insurance billing knowledge
- Detail-oriented, hardworking, and diligent
- Tech-savvy and quick to learn new EMR systems
- Accurate in coding and billing with strong understanding of reimbursement processes
- Clear communicator; able to work effectively with providers, insurers, and patients
- Highly reliable and responsive
-
Authorization & Eligibility Specialist (Onsite)
3 weeks ago
Davao City, Davao, Philippines Snapscale Full timeOverviewSnapscale is looking for an expert Authorization and Eligibility Specialist to perform the following functions:Verify insurance eligibility, benefits, exclusions, deductibles, co-pays, and co-insurance for occupational and speech therapy patients.Contact insurance providers to clarify discrepancies or misquoted benefits.Enter benefit details into...
-
Authorization & Eligibility Specialist (Onsite)
3 weeks ago
Davao City, Davao, Philippines Snapscale Full timeOverviewSnapscale is looking for an expert Authorization and Eligibility Specialist to perform the following functions:Verify insurance eligibility, benefits, exclusions, deductibles, co-pays, and co-insurance for occupational and speech therapy patients.Contact insurance providers to clarify discrepancies or misquoted benefits.Enter benefit details into...
-
Team Manager for Tech
3 weeks ago
Davao City, Davao, Philippines Nezda Global Full timeOverviewNezda is actively looking for a Team Manager for Tech & Healthcare Accounts.QualificationsMinimum of 1-year experience in call center operations and/or prior experience supervising multiple employees.At least 1 year of experience as Team Leader/Lead or Operations Supervisor in the BPO industry.Must have BPO experience.Knowledge of Behavioral Coaching...
-
Billing Specialist
4 days ago
Davao City, Davao, Philippines TORCH Solutions Full time ₱250,000 - ₱500,000 per yearJoin our team in Davao City as a full-time Billing Specialist. In this highly impactful role, you will be responsible for handling customer billing inquiries and resolving any issues efficiently and effectively. With a focus on delivering exceptional customer service, you will play a crucial part in maintaining strong relationships with our clients.What...
-
Appointment Setter- ONSITE
4 days ago
Davao City, Davao, Philippines SPlace Full time ₱7,800 per yearKey Responsibilities:Prospect, outreach, and engage potential clients via phone, email, and other channels to generate qualified appointments.Qualify leads using predefined criteria (budget, authority, need, timeline) and schedule meetings for the sales team.Maintain accurate activity records in the CRM (lead status, call outcomes, appointment details,...
-
Enrollment Specialist
7 days ago
Davao City, Davao, Philippines SixEleven Full time ₱96,000 - ₱240,000 per yearJob SummaryThe Enrollments Specialist and Customer Service Representative plays a key role in ensuring patients, healthcare providers, and partners receive accurate, timely, and compassionate support related to pharmaceutical delivery services. This role is responsible for enrolling patients into prescription delivery programs, verifying eligibility,...
-
Davao City, Davao, Philippines AUMTREND PH INC Full time ₱250,000 - ₱300,000 per yearJob DescriptionWe are seeking experienced and detail-oriented Customer Service Representatives to join our disability claims support team in Davao. This role is ideal for candidates with prior exposure to short-term disability, state and federal leave processing, or related customer service fields.As a CSR, you will be responsible for handling inbound and...
-
US Medical Biller
4 days ago
Davao City, Davao, Philippines IT People Full time ₱20,000 - ₱25,000 per yearResponsibilitiesVerifying insurance eligibility and benefits for new patientsMaking calls to insurance companies for claim status, denials, reconsiderations and appealsPosting payments from insurance company ERAs into claims in our billing system. Posting payments from patients into their charts.Pull and complete company AR report to review with management...
-
Medical Sales Representative
4 days ago
Davao City, Davao, Philippines Berovan Marketing Inc. Full time ₱18,000 - ₱67,400 per yearJoin #BEROVAN and grab your opportunity to be part of the country's most reliable distributor of medical supplies and equipment for over 53 years in the market.We are actively looking for individuals who want to be a:PRODUCT SPECIALIST SALES REPRESENTATIVE (MEDICAL SALES REPRESENTATIVE)To be considered for the job, here are the qualifications:A relevant...
-
Data Entry and ServiceM8 Booking Specialist
4 days ago
Davao City, Davao, Philippines Emapta Full time ₱250,000 - ₱500,000 per yearGuiding Every Booking with Precision In consumer services, every detail counts-but so does your time. This role lets you hone your skills in data entry and booking management while working with global teams. Grow your career without compromising weekends, personal goals, or family time, and enjoy the stability of a career that fits your life. Job...