Auth Specialist/Patient Care Coordinator

Civicom Pacific Corp.; Muntinlupa; On-site; PHP 279,000 - 558,000; Full time

Benefits offered by this job

Competitive salary

Bonuses

Sick leave

Vacation leave

Full-time employment

Job summary

Civicom Pacific Corp. is seeking an Auth specialist/Patient Care Coordinator to support a U.S. physical therapy client.

You’ll verify insurance eligibility, obtain authorizations, schedule appointments, and assist with routine medical admin tasks, including greeting patients via video. Ideal candidates have BPO customer service experience, U.S. insurance knowledge, CPT/ICD familiarity, EMR access, and strong English communication.

Qualifications

• Experience in BPO customer service with US insurance verification.
• Knowledge of medical billing, CPT/ICD codes, and pre-authorization processes.
• Proficient English communication skills.
• Familiarity with EMR systems and HIPAA compliance.
• Experience in medical admin or PT-related fields is a plus.

Responsibilities

• Manage and process insurance authorizations accurately and timely.
• Contact insurance providers to obtain approvals and required documentation.
• Retrieve and upload EMR notes or related medical documentation.
• Enter and file documents into the EMR system.
• Maintain confidentiality and HIPAA compliance when handling patient information.
• Greet patients via video call.
• Schedule appointments based on treatment plans.
• Process and collect payments.

Skills

BPO customer service experience

U.S. insurance knowledge

Strong English communication

EMR familiarity

Payment collection experience

Tools

EMR systems

CPT/ICD codes

Insurance portals

Job description

About the Role:

We’re looking for an Auth specialist/Patient Care Coordinator to support the U.S.-based physical therapy client. You’ll verify patient insurance and eligibility, handle appointment scheduling, and assist with routine admin tasks, you may also welcome them via video.

Key Responsibilities:

• Manage and process insurance authorizations (auths) accurately and in a timely manner
• Contact insurance providers via phone or online portals to obtain necessary approvals and documentation
• Retrieve and upload EMR notes or related medical documentation as required
• Ensure all obtained documents are properly filed and entered into the EMR system
• Maintain confidentiality and compliance with HIPAA and organizational policies when handling patient information
• Greet patients via video call
• Schedule appointments based on treatment plans
• Process/collect payments

Qualifications:

• BPO customer service experience
• Understands U.S. insurance (verification & pre-authorization)
• Demonstrate familiarity with medical billing, different insurance platforms and specific authorization processes
• Strong English communication skills
• Familiarity with EMR systems, CPT/ICD codes, and explanation of benefits
• Background in payment collection and processing, medical admin, PT, or related fields is a plus

Additional Notes:

• This is a full-time role with Civicom (not freelance)
• Candidates who live within an hour to Alabang are preferred
• Onsite work required during power/internet issues (Business Continuity Plan)

If you’re the person we’ve been looking for, you can expect:

• To create and be part of something truly remarkable
• Full-time employment
• Competitive salary package based on talent and experience
• Q1, Q2, and Q3 Performance Bonuses
• 10 accrued Sick Leave credits in a year, unused of which is commutable to cash
• 10 Vacation Leave credits in a year, among others
• Having a hand in our mission to uplift those who live in extreme poverty simply by being part of our team of Really Good People

Join Our Team at WelcomeWare

At WelcomeWare, a business unit of Civicom, we’re reshaping the future of front desk operations with our groundbreaking virtual receptionist platform. Our mission is to streamline customer service experiences across various industries, leveraging state-of-the-art kiosks and customizable software to ensure operational excellence and superior service delivery.

As a member of our team, you’ll contribute to a culture of innovation, where your work directly enhances the efficiency and effectiveness of businesses worldwide. You’ll engage with advanced technologies in a collaborative environment, dedicated to providing secure, reliable, and user-friendly solutions.

Why Choose WelcomeWare?

• Be part of a forward-thinking company that values creativity and innovation.
• Work with cutting-edge technology that makes a tangible difference in various sectors.
• Join a supportive team committed to professional growth and development.
• Contribute to a service that prioritizes security and user experience, with a strong adherence to HIPAA compliance.

We invite you to be a part of our journey at WelcomeWare, where your contributions will not only propel your career but also redefine the standard of customer service in today’s fast-paced world.

Find out more about Civicom Pacific atwww.civi.comand our Feathers Project atwww.feathersproject.org.