Healthcare Benefits Specialist

2 days ago

Manila, National Capital Region, Philippines 247 DDCT Full time ₱1,440,000 - ₱1,920,000 per year

We are seeking a detail-oriented and experienced Healthcare Benefits Specialist to join our healthcare operations team. The ideal candidate will have a strong background in Revenue Cycle Management (RCM) with proven expertise in Eligibility and Benefits Verification (EBV) and patient interactions. This role requires excellent communication skills and the ability to manage patient calling effectively. Candidates must be comfortable working in US hours.

Key Responsibilities:

  • Conduct Eligibility and Benefits Verification for medical, dental, and vision services through payer portals and phone calls.
  • Perform outbound patient calling to verify insurance details, explain patient responsibilities, and follow up on patient statements.
  • Collaborate with billing and front office teams to ensure accurate capture of insurance data and minimize claim denials.
  • Respond to patient inquiries professionally and resolve issues related to coverage or billing.
  • Support the RCM team in addressing benefit-related discrepancies affecting reimbursement.

Requirements:

  • 3–5 years of experience in Eligibility and Benefits Verification and patient communications within the US healthcare system.
  • Strong working knowledge of Revenue Cycle Management (RCM) processes.
  • Proven experience handling patient statements and resolving patient billing concerns.
  • Excellent verbal and written communication skills with a patient-focused approach.
  • Proficiency in using EMR/EHR systems, payer portals, and insurance verification tools.
  • Ability to work independently and adapt to US time zone schedules (night shift).

Preferred:

  • Experience working with US-based healthcare providers or billing companies.
  • Familiarity with insurance carriers, including Medicare, Medicaid, and commercial payers.

*NOTE*

Competitive compensation offered, with a potential salary increase of 30–40% over current CTC, based on relevant prior experience.

Job Type: Full-time

Pay: Php28, Php40,000.00 per month

Benefits:

  • Work from home

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