Insurance Verification Representative

Med-Metrix; Pasig; On-site; PHP 400,000 - 600,000; Full time

Benefits offered by this job

8-Hour Shifts, Fixed Weekends Off

Day 1 HMO for dependents

Group Life Insurance

Medical Cash Allowance

Free Lunch Daily

Paid Time Off

Job summary

A healthcare company in the Philippines is hiring an Insurance Verification Representative responsible for accurately handling insurance verifications. This role involves utilizing payer portals, updating client systems, and ensuring compliance with HIPAA standards. Candidates should possess strong organizational and communication skills, a high school diploma, and familiarity with practice management software. The position requires flexibility to work night shifts aligned with US hours and offers excellent benefits including health management on day one.

Qualifications

• Insurance verification knowledge helpful.
• Basic Excel skillset required.
• Must be flexible to work US hours.

Responsibilities

• Obtain and verify patients' insurance information.
• Update information in the client system.
• File claims after updates.

Skills

Organizational skills

Communication skills

Microsoft Office Suite

Problem-solving skills

Interpersonal skills

Education

High school diploma or equivalent

Tools

GE Centricity

EPIC PB

Cerner

Allscripts

Job description

Overview

Experience these exceptional benefits when you join Med-Metrix!

• 8-Hour Shifts, Fixed Weekends Off
• Day 1 HMO with 2 of your dependents covered for FREE
• Group Life Insurance
• Medical Cash Allowance
• Rice Allowance
• Clothing Allowance
• Holiday Gift
• Bereavement Assistance
• Free Lunch Daily
• Paid Time Off
• Training and Staff Development
• Employee Engagement Activities
• Opportunities for Internal Mobility

Job Purpose

The Insurance Verification Representative is responsible for obtaining and providing accurate and complete data input for insurance verifications in clients host systems.

Responsibilities

• Utilize payer web portals to obtain patients current insurance information and update the information in the client system
• Verify insurance information against patient’s insurance cards scanned in client system and ensure the correct and most up to date information is on the patient’s account
• Once updates are entered in client system, follow procedure on filing the claims
• Comment all actions taken in internal and client host system
• Work independently from assigned work queues
• Meets and maintains daily productivity/quality standards established in departmental policies
• Adheres to the policies and procedures established for the client/team
• Communicate effectively with leadership
• Maintain a professional attitude
• Other duties as assigned by the management team
• Use, protect and disclose patients’ protected health information (PHI) only in accordance with Health Insurance Portability and Accountability Act (HIPAA) standards
• Understand and comply with Information Security and HIPAA policies and procedures at all times
• Limit viewing of PHI to the absolute minimum as necessary to perform assigned duties

Qualifications

• High school diploma or equivalent required
• Insurance Verification knowledge helpful
• Experience with practice management software: GE Centricity, EPIC PB, Cerner, Allscripts preferred
• Knowledge of individual payor websites, including eviCore, Navinet and Novitasphere
• Ability to work well individually and in a team environment
• Strong organizational and task prioritization skills
• Proficiency in Microsoft Office Suite. Must have basic Excel skillset
• Strong communication skills/oral and written
• Strong organizational skills
• Strong interpersonal skills, ability to communicate well at all levels of the organization
• Strong problem solving and creative skills and the ability to exercise sound judgment and make decisions based on accurate and timely analyses
• High level of integrity and dependability with a strong sense of urgency and results oriented
• Excellent written and verbal communication skills required
• Gracious and welcoming personality for customer service interaction

Working Conditions

• Work Set-Up: Onsite
• Work Schedule: US hours, night shift; must be flexible to accommodate business schools.
• Physical Demands: While performing the duties of this job, the employee is occasionally required to move around the work area; Sit; perform manual tasks; operate tools and other office equipment such as computer, computer peripherals and telephones; extend arms; kneel; talk and hear.
• Mental Demands: The employee must be able to follow directions, collaborate with others, and handle stress.
• Work Environment: The noise level in the work environment is usually minimal.

Med-Metrix will not discriminate against any employee or applicant for employment because of race, color, religion, sex (including pregnancy, gender identity, and sexual orientation), parental status, national origin, age, disability, genetic information (including family medical history), political affiliation, military service, veteran status, other non-merit based factors, or any other characteristic protected by federal, state or local law.