Insurance Eligibility and Benefit Specialists

2 days ago


Manila, National Capital Region, Philippines MedCore Solutions Full time

We're looking for
one to two experienced Insurance Eligibility & Benefits Specialists
to support a busy healthcare practice by ensuring patients are financially cleared before their visits. This role is all about accuracy, speed, and knowing insurance inside and out.

You'll handle eligibility verification, benefits review, and precise patient responsibility calculations using
eClinicalWorks (eCW)
. If you're the type who catches discrepancies before they turn into billing chaos—this one's for you.

Key Responsibilities

  • Verify patient insurance eligibility and review benefit details across commercial and government payers
  • Accurately calculate and document patient financial responsibility, including deductibles, copays, coinsurance, and out-of-pocket maximums
  • Enter, update, and maintain insurance and benefits data in eClinicalWorks (eCW)
  • Communicate with insurance carriers via payer portals and phone calls to clarify coverage questions
  • Identify and resolve eligibility or benefits issues prior to patient visits
  • Collaborate with billing and front-office teams to support clean claims and accurate patient billing
  • Assist with additional revenue cycle tasks as needed, including A/R support when applicable

Qualifications

  • Hands-on experience with eClinicalWorks (eCW)
  • Proven background in insurance eligibility verification and benefits review in a U.S. healthcare setting
  • Strong ability to calculate patient financial responsibility accurately
  • Solid understanding of insurance terminology, payer rules, and payer portals
  • Experience working with Arizona insurance plans
  • Prior medical billing or accounts receivable (A/R) experience
  • Interest in cross-training within revenue cycle functions
  • Exceptional attention to detail with strong problem-solving skills

Benefits

  • Permanent Work From Home
  • Leave Credits
  • Monetary Allowance
  • Annual Bonus
  • Weekly Paychecks
  • Fixed Weekends Off
  • Thriving Company Culture with Complete Autonomy
  • Exclusive Specialized Training Programs
  • Unlock Your Potential with a Highly Competitive Salary

____________________________________________________________________

Who are we?
MedCore Solutions is the healthcare division of BizForce, dedicated to supporting U.S.-based healthcare clients through a skilled remote workforce in the Philippines. We specialize in connecting top clinical and administrative talent with reputable healthcare organizations, ensuring high-quality care delivery while providing rewarding work-from-home careers.



  • Manila, National Capital Region, Philippines TALENTMATE Full time

    Job DescriptionWe want you to see first why this opportunity stands out and why it could be a great fit for you.Independent Contractor PerksHMO Coverage for eligible locationsPermanent work from homeImmediate hiringSteady freelance jobJob OverviewWe are urgently seeking experienced Insurance Eligibility Specialists to join our team. The ideal candidates have...


  • Manila, National Capital Region, Philippines Vector Outsourcing Solutions Phils. Inc. Full time

    The Dental Insurance Eligibility Verifier will join the Dental Insurance Billing/Collections Team, which handles billing, collections, and payment posting services for dental clinics and service providers in the United States.Confirm dental insurance eligibility via web portal, fax back, phone call.Gather patient eligibility for specific Dental procedures,...


  • Manila, National Capital Region, Philippines Primus@Knowledge Specialists, Inc. Full time

    Job Title: Benefits Administration SpecialistJob SummaryThe Benefits Administration Specialist supports the administration and processing of employee benefits, ensuring accuracy, compliance, and timely coordination with employees and vendors. This role is open to fresh graduates of a 4-year course, requires willingness to work on a night shift, and may have...


  • Manila, National Capital Region, Philippines BruntWork Full time

    This is a remote position. Schedule: Monday to Friday, 8:00 AM – 4:00 PM EST Total Weekly Hours: 40 HoursJoin a growing dental practice as an Insurance Verification Specialist and ensure smooth patient experiences by managing insurance processes that impact access to care. You'll handle pre-authorizations, appeals, and insurance documentation, supporting...


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

    This is a remote position.Virtual Rockstar is hiring a full-time Insurance Verification & Authorization Specialist on behalf of our client, a well-established outpatient physical therapy practice in Washington State. This role is a critical back-office position focused on insurance eligibility, benefit verification, prior authorizations, and...


  • Manila, National Capital Region, Philippines White & Case LLP Full time

    Firm SummaryWhite & Case is an elite global law firm serving leading companies, financial institutions and governments worldwide. Our long history as an international firm means we are perfectly placed to help our clients resolve their most complex legal challenges wherever they may be.With lawyers and staff operating from more than 47 locations, working in...


  • Manila, National Capital Region, Philippines Primus@Knowledge Specialist Inc. Full time

    Job Title: Benefits Administration SpecialistJob SummaryThe Benefits Administration Specialist supports the administration and processing of employee benefits, ensuring accuracy, compliance, and timely coordination with employees and vendors. This role is open to fresh graduates of a 4-year course, requires willingness to work on a night shift, and may have...


  • Manila, National Capital Region, Philippines PMConsulting Full time

    We are looking for a Healthcare Insurance Specialist with at least one (1) year of experience handling healthcare insurance and claims. The successful candidate will support US healthcare insurance processes, ensure accurate claims handling, and provide timely resolution in accordance with client and regulatory standards.Qualifications:At least 1 year of...


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

    This is a remote position.Virtual Rockstar is hiring an Insurance Verification & Authorization Specialist to support a thriving outpatient physical therapy practice in Louisiana.The Insurance Verification & Authorization Specialist will play a crucial role in ensuring smooth patient care operations by managing insurance verifications, pre-authorizations, and...


  • Manila, National Capital Region, Philippines ABSI Full time

    Compensation and Benefits SpecialistJob Summary:The Compensation and Benefits Specialist is responsible for administering employee compensation programs, managing benefits plans, ensuring compliance with labor laws, and supporting overall employee satisfaction through competitive rewards and incentives.Key Responsibilities:Administer payroll processes,...