Insurance Verification & Prior Authorization Specialist

409 Central Hub; Angeles; On-site; PHP 279,000 - 424,000; Full time

Job summary

409 Central Hub Management Inc. in Angeles, Philippines is seeking an Insurance Verification Specialist. This full-time, on-site role verifies insurance coverage, eligibility, copays, and authorization requirements using payer portals and internal systems.

You will coordinate prior authorizations, resolve coverage discrepancies, and communicate outcomes to clinical staff, billing teams, and patients with professionalism.

Qualifications

• Strong skills in Insurance Verification and prior experience with payers and eligibility checks.
• Basic understanding of Medical Terminology and healthcare procedures.
• Effective communication with patients, payers, and internal teams.
• Experience with Prior Authorization processes and documentation.
• Customer service skills with empathy and professionalism.
• Attention to detail in data entry, documentation, and record-keeping.
• Proficiency with computer systems, insurance portals, and office software.

Responsibilities

• Verify patients' insurance coverage, eligibility, and benefits prior to services.
• Coordinate prior authorizations and resolve coverage discrepancies.
• Communicate outcomes to clinical staff, billing teams, and patients.
• Respond to inquiries and maintain up-to-date payer requirements.
• Support efficient claims processing through thorough verification.

Skills

Insurance Verification

Prior Authorization

Communication

Data entry

Multitasking

Education

High school diploma or equivalent

Tools

EMR systems

Job description

409 Central Hub Management Inc. in Angeles, Philippines is seeking an Insurance Verification Specialist. This full-time, on-site role verifies insurance coverage, eligibility, copays, and authorization requirements using payer portals and internal systems.

You will coordinate prior authorizations, resolve coverage discrepancies, and communicate outcomes to clinical staff, billing teams, and patients with professionalism.