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

Vector Outsourcing Solutions Philippines; Mandaluyong; On-site; PHP 279,000 - 391,000; Full time

Benefits offered by this job

Work from home

Equipment provided

Job summary

Vector Outsourcing Solutions Philippines is seeking a remote Insurance Verification Specialist to verify patient eligibility, benefits, co-pays, and coverage for elder care services from home in the Philippines. The role supports coordination with physicians and care teams to ensure timely enrollment and care.

You will handle inquiries, educate patients on coverage and costs, and maintain HIPAA-compliant records in EHR/EMR systems. Night shifts are available as needed.

Qualifications

• Bachelor's degree required or preferable in medical field.
• Minimum 6 months consultancy contract with renewal 가능.
• Minimum 1-2 years experience in healthcare insurance verification or related role.
• Excellent English communication skills, written and oral.

Responsibilities

• Verify patient insurance eligibility, benefits, co-pays, deductibles, and coverage for Senior/Elder Care services.
• Contact insurance providers and use portals to confirm eligibility and benefits.
• Collect and maintain accurate patient demographics and insurance information.
• Educate patients on coverage and estimated out-of-pocket costs.

Skills

English communication

Time management

Customer service

Education

Bachelor's degree (medical preferred)

Tools

EHR/EMR systems

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.

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