Insurance & Benefits Verification Specialist

CF Solutions Philippines Inc.

Philippines

On-site

PHP 223,000 - 391,000

Full time

14 days+

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Job summary

CF Solutions Philippines Inc. seeks a detail-oriented Eligibility & Benefits Verification Representative for our Neurology practice.

You will verify patient insurance eligibility, benefits, and copay information, maintain accurate patient records, and ensure all documentation in the EHR is complete and up to date. You will support patient access to care by validating coverage, managing referrals, and sustaining precise chart maintenance.

Qualifications

College graduate from a healthcare-related field.
Experience in Eligibility and Benefits Verification within a healthcare setting.
Working knowledge of insurance verification processes, benefits investigation, and referral management.
Experience using Electronic Health Record (EHR) systems.

Responsibilities

Verify patient insurance eligibility, benefits, coverage details, and copay responsibilities.
Ensure all insurance information is accurately documented in the EHR system.
Confirm referral effective and termination dates as needed.
Update and maintain patient charts with accurate insurance and referral information.
Flag patient accounts and charts when necessary to ensure proper follow-up.
Enter copay amounts to be collected at the time of service.
Review, attach, and manage referrals within patient records.
Ensure all supporting documentation is complete and accurately entered.
Create new patient profiles when required.
Identify, merge, and correct duplicate patient records.