Insurance Verification

Insurance Verification & Missing Information Specialist

RML-PH - Quezon City (Remote)

Please note: Submitting multiple applications for the same position may delay your review of your candidacy. We encourage you to apply once and ensure all information is complete and accurate.

About Us

RML-PH is a dynamic and innovative Health Solutions and Care Delivery Organization committed to transforming the healthcare landscape. With a mission to provide accessible, high-quality healthcare services and cutting-edge solutions, RML-PH focuses on holistic patient care and embraces the latest advancements in health technology. Our team is dedicated to providing top-tier customer care, leveraging expertise and technology to exceed expectations. Join us at RML-PH to be part of a dynamic team committed to delivering excellence in healthcare customer service.

Position

We are seeking a highly motivated and detail-oriented individual to join our team as an Insurance Verification & Data Specialist. In this role, you will be responsible for reviewing, validating, and verifying patient insurance information and resolving incomplete or inaccurate documentation to ensure accurate billing and reimbursement. Strong organizational skills and attention to detail are essential for success in this position.

Responsibilities:

• Validate patient insurance information, including coverage details and policy status.
• Cross-check information against data provided by healthcare facilities or insurance companies
• Identify and resolve discrepancies in insurance documentation and billing information.
• Gather missing information as required to complete medical claim forms
• Update patient information and resolve missing information across multiple systems
• Communicate with insurance companies, medical facilities, and internal departments to obtain missing or additional information
• Provide exceptional service to clients, sales representatives, and interdepartmental staff members through effective verbal and written communication
• Maintain confidentiality and adhere to HIPAA regulations
• Ensure the accuracy and integrity of insurance verification and billing processes
• Stay up-to-date with industry regulations and guidelines
• Additional responsibilities as required to meet business needs.

Qualifications:

• High school diploma or equivalent; additional certification or education in healthcare or a related field is preferred
• 2+ years of experience in insurance verification, medical billing, or a related field
• 2+ years of professional experience in customer service, specializing in handling inbound and outbound calls with efficiency and professionalism.
• Proficient in medical coding systems and terminology (CPT, ICD-10, HCPCS)
• Strong knowledge of insurance payer guidelines (Medicare, Medicaid, private insurance)
• Excellent analytical and problem-solving skills with attention to detail
• Proficient in using spreadsheets and data entry systems, including Microsoft Excel
• Strong organizational and time management skills
• Effective communication skills in English, both written and verbal
• Ability to work independently and collaborate with a team in a fast-paced environment
• Familiarity with HIPAA regulations and compliance requirements

How to Apply:

Interested candidates are encouraged to submit their resumes and a cover letter outlining their qualifications and how they would contribute to RML-PH's success via LinkedIn.

Additional Details:

• Ideal start date: ASAP
• Schedule: Tuesday to Saturday 12:00 AM to 9:00 AM (Philippine Time)
• Work Location: Remote (Quezon City, PH)
• Job Type: Full-time
• Salary: Php 30,000 to 35,000 per month

Benefits:

• Contributions to PhilHealth, SSS, and Pag-IBIG
• Paid leave: Sick, Paternity, Annual, and Public holidays
• Monetary compensation: 13th-month pay and overtime
• New hires begin as contractors for the first 3 months before being reviewed for direct employment

Requirements:

• All employees must undergo a background check, and continued employment is dependent on its outcome.
• English proficiency required
• Candidate must have a WFH Equipment

At RML-PH, we care for our team members and their well-being. We are an equal-opportunity employer and value diversity, striving to create an inclusive workplace for all. We encourage candidates of all backgrounds and experiences to apply.

Disclaimer:

All positions at RMLPH require a background check during the onboarding process. Continued employment is dependent on the outcome of the background check.

RML-PH does not partner with staffing agencies. Resumes submitted unsolicited by agencies will not be considered, and RML-PH assumes no responsibility for fees incurred.

Please view this job listing on LinkedIn for an up-to-date status. Other job sites may repost our listings but do not always remove them once filled.

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