Impactful Insurance Eligibility Specialist

CF Outsourcing Solutions; Quezon City; On-site; PHP 200,880 - 334,800; Full time

Job summary

CF Outsourcing Solutions is seeking a detail-oriented Insurance Verification Specialist to support our healthcare operations by ensuring accurate and timely verification of insurance benefits for patients across multiple clinic locations.

The ideal candidate will manage a high-volume workload with strong knowledge of payer portals, HIPAA compliance, and collaboration with billing and clinical teams to maintain accurate records and efficient claims submission.

Qualifications

• Experience in insurance verification or healthcare administration.
• Knowledge of medical benefits, eligibility verification, and claims processes.
• Strong attention to detail and accuracy.
• Ability to handle high-volume workload.
• Proficient in EMR/EHR systems.

Responsibilities

• Verify insurance eligibility and benefits for 200+ patients daily.
• Review coverage, authorizations, and eligibility requirements.
• Document verification notes in the system.
• Collaborate with billing, scheduling, and clinical teams to resolve issues.
• Maintain patient records and ensure accurate data for claims submission.
• Ensure HIPAA compliance in handling patient information.

Skills

Attention to detail

Communication

Problem-solving

Time management

High-volume workload

Outlook

Excel

Word

Tools

Outlook

Excel

Word

Job description

CF Outsourcing Solutions is seeking a detail-oriented Insurance Verification Specialist to support our healthcare operations by ensuring accurate and timely verification of insurance benefits for patients across multiple clinic locations.

The ideal candidate will manage a high-volume workload with strong knowledge of payer portals, HIPAA compliance, and collaboration with billing and clinical teams to maintain accurate records and efficient claims submission.