Eligibility & Benefits Specialist

CF Solutions Philippines Inc.; Quezon City; On-site; PHP 279,000 - 446,000; Full time

Job summary

CF Solutions Philippines Inc. seeks an Eligibility and Benefits Representative to verify insurance eligibility and benefits, manage patient records, and update patient charts with accuracy and confidentiality.

The role requires meticulous attention to detail, strong organizational skills, and proficiency in electronic health record systems. Interpersonal communication is essential for coordinating with healthcare teams.

Qualifications

• Experience in Eligibility and Benefits is required.
• Strong attention to detail and organizational skills are essential.
• Proficient in using electronic health record (EHR) systems.
• Excellent communication and interpersonal skills are necessary.
• Ability to handle sensitive information with confidentiality.
• Knowledge of acupuncture benefits is a plus but not required.

Responsibilities

• Verify patient insurance eligibility and benefits, ensuring accurate recording.
• Update patient charts with referrals and termination dates.
• Upload imaging and medical notes to charts from faxes.
• Create new patient profiles in the system.
• Attach referrals to patient charts.
• Prepare patient charts for upcoming appointments.
• Maintain and update Full Slate patient statistics.

Skills

Attention to detail

Organizational skills

Communication skills

Confidentiality

Acupuncture benefits knowledge

Education

College degree

Tools

EHR systems

Job description

Job Summary:

We are looking for a meticulous and efficient Eligibility and Benefits Representative to join our healthcare team.

The successful candidate will be responsible for verifying insurance eligibility and benefits, managing patient records, and ensuring accurate updates to patient charts.

This role requires strong attention to detail, excellent organizational skills, and the ability to handle sensitive information with confidentiality.

Key Responsibilities:

• Insurance Verification: Verify patient insurance eligibility and benefits, ensuring all information is accurately recorded.
• Chart Updates: Add referral and termination date information to patient charts.
• Document Management: Upload imaging and medical notes to patient charts from faxes.
• Patient Profile Creation: Create new patient profiles in the system.
• Referral Management: Attach referrals to patient charts.
• Chart Preparation: Prepare patient charts for upcoming appointments.
• Statistics Management: Maintain and update Full Slate patient statistics.

Qualifications:

• College Graduate of any related course
• Must have experience in Eligibility and Benefits.
• Strong attention to detail and organizational skills.
• Proficient in using electronic health record (EHR) systems.
• Excellent communication and interpersonal skills.
• Ability to handle sensitive information with confidentiality.
• Familiar with acupuncture benefit but not required