Healthcare Insurance Eligibility & Registration Specialist

Virtual Staffing Solutions; Merida; On-site; PHP 201,000 - 379,000; Full time

Job summary

Virtual Staffing Solutions in Merida, Leyte, Eastern Visayas, Philippines is seeking an Insurance Eligibility and Registration Specialist. The role covers verifying patient insurance eligibility, updating demographic data, and ensuring accuracy in practice management systems.

The successful candidate will have at least six months of experience with U.S. health plans, familiarity with EMR/EHR systems, and strong data entry skills.

Qualifications

• Six months of experience with U.S. health insurance plans, eligibility, and benefits verification.
• Familiar with payer portals, EMR/EHR systems, and practice management software.
• Knowledge of HIPAA regulations, medical terminology, and patient confidentiality.
• Strong data entry skills, attention to detail, and organizational abilities.
• Willingness to work on shifting schedules, including holidays.

Responsibilities

• Verify patient insurance eligibility and benefits through payer portals, clearinghouses, and insurance carrier systems.
• Confirm active coverage, co-pays, deductibles, and authorization or referral requirements.
• Register new patients and update existing demographic and insurance information in practice management systems.
• Review patient records for accuracy and completeness, resolving registration discrepancies as needed.
• Document verification results, communicate findings to healthcare teams, and ensure HIPAA compliance and adherence to productivity and quality standards.

Skills

Data entry

Attention to detail

Organizational skills

HIPAA regulations knowledge

Tools

EMR/EHR systems

Practice management software

Payer portals

Job description

Virtual Staffing Solutions in Merida, Leyte, Eastern Visayas, Philippines is seeking an Insurance Eligibility and Registration Specialist. The role covers verifying patient insurance eligibility, updating demographic data, and ensuring accuracy in practice management systems.

The successful candidate will have at least six months of experience with U.S. health plans, familiarity with EMR/EHR systems, and strong data entry skills.