Eligibility Verifier (Medical) | Work From Home (POOLING)

Vector Outsourcing Solutions Phils.; Mandaluyong; Remote; PHP 279,000 - 446,000; Part time

Benefits offered by this job

Equipment provided

Work from Home

Job summary

Vector Outsourcing Solutions Phils. is seeking a remote Insurance Verification Specialist to confirm patient coverage, benefits, and co-pays. You will work with providers, patients, and care staff to ensure accurate enrollment and timely care while maintaining HIPAA-compliant records.

Qualified candidates have 1–2 years in healthcare verification, strong English skills, and the ability to manage multiple tasks in night shifts from home with a reliable internet connection.

Qualifications

• Bachelor's degree in a medical-related field is preferred.
• Consultancy basis minimum of 6 months (renewal subject).
• 1–2 years in healthcare insurance verification, eligibility and benefits verification, or related role.
• Excellent English communication, both written and oral.
• Ability to prioritize and organize multiple tasks, customer-centric.

Responsibilities

• Verify patient insurance eligibility, benefits, co-pays, deductibles, and coverage.
• Contact insurance providers and confirm eligibility via online portals.
• Maintain patient demographics and documentation; ensure HIPAA compliance.
• Educate patients on coverage, out-of-pocket costs, and care options.
• Coordinate with physicians and care staff to support enrollment and scheduling.

Skills

English communication

Time management

Customer service

Multitasking

Night shift readiness

Remote work setup

Education

Bachelor's degree in Medical field (preferred)

Tools

EHR/EMR systems

Insurance verification software

Online portals

Job description

Job Description:

• Verify patient insurance eligibility, benefits, co-pays, deductibles, and coverage for Senior/Elder Care services.


• Contact insurance providers and use online portals to confirm eligibility and benefits.


• Collect, review, and maintain accurate patient demographics, insurance information, and required documentation.


• Educate patients on insurance coverage, preventive care services, and estimated out-of-pocket costs.


• Answer patient inquiries and provide guidance on insurance benefits and care options.


• Coordinate with physicians, care coordinators, and nursing home staff to support patient enrollment and timely care.


• Identify patients due for preventive care and assist with appointment scheduling.


• Maintain accurate records in EHR/EMR and insurance verification systems while ensuring HIPAA compliance.


• Generate reports on eligibility verification, patient enrollment, and insurance coverage trends.


• Follow company and client policies, procedures, and perform other duties as assigned.

Minimum Qualifications:

• Graduate of Bachelor's Degree (preferably in Medical, but not required)


• Consultancy basis minimum of 6 months consultancy contract (subject for renewal)


• At least 1–2 years of experience in healthcare insurance verification, eligibility and benefits verification, patient registration, or a related healthcare support role.


• Must have excellent English communication skills, both written and oral


• Ability to prioritize and organize multiple tasks


• Strong communication skills and customer centric


• Willing to work in shifting schedules, mostly night shift


• Able to work from home, must have a reliable internet connection

Others:

• Equipment/ company computer is provided


• Work from Home