Insurance Verification Specialist

MicroSourcing; Quezon City; On-site; PHP 446,000 - 725,000; Full time

Benefits offered by this job

Healthcare coverage on day one

Paid time-off with cash conversion

Group life insurance

Performance bonuses

Company-sponsored events

Job summary

MicroSourcing is hiring an Insurance Verification Specialist for an onsite night-shift role in Eastwood, Quezon City. The role focuses on intermediate insurance verification, coordinating with clinical departments, and ensuring accurate scheduling for covered services.

Responsibilities include performing detailed verifications, initiating prior authorizations, and maintaining logs. The position requires an Associate's degree (preferred) or equivalent experience and 3+ years in medical/insurance

Qualifications

• Associate's degree preferred or equivalent work experience.
• 3+ years of experience in a medical office or insurance verification role.
• Strong understanding of commercial, government, and exchange-based insurance plans.
• Familiarity with EMR systems (eClinicalWorks preferred).
• Proficient in verifying coverage for high-cost services (imaging, injections, procedures).
• Excellent attention to detail and documentation skills.

Responsibilities

• Perform detailed insurance verification for outpatient and in-office procedures.
• Identify and flag non-covered services or potential coordination of benefits issues.
• Initiate and follow up on prior authorization requests, including appeals if necessary.
• Maintain organized tracking logs for authorizations and coverage status.
• Communicate coverage details to patients and collect out-of-pocket estimates if applicable.
• Serve as a subject matter resource to Patient Account Rep I staff.
• Work insurance queues to resolve pre-service issues that may delay care.
• Report payer trends or systematic verification issues to leadership.

Skills

Attention to detail

Documentation skills

Customer communication

Education

Associate's degree preferred

Tools

eClinicalWorks

Job description

Job Description

Discover your 100% YOU with MicroSourcing!

Position: Insurance Verification Specialist

Work setup: Onsite | Night shift

Location: Eastwood, Quezon City

Why join MicroSourcing?

You’ll Have:

• Competitive Rewards: Enjoy above-market compensation, healthcare coverage on day one, plus one or more dependents, paid time-off with cash conversion, group life insurance, and performance bonuses
• A Collaborative Spirit: Contribute to a positive and engaging work environment by participating in company-sponsored events and activities.
• Work-Life Harmony: Enjoy the balance between work and life that suits you with flexible work arrangements.
• Career Growth: Take advantage of opportunities for continuous learning and career advancement.
• Inclusive Teamwork: Be part of a team that celebrates diversity and fosters an inclusive culture.

Key Responsibilities

The Insurance Verification Specialist performs intermediate insurance verification and authorization duties with a growing level of responsibility. In addition to verifying insurance, this position coordinates with clinical departments to ensure accurate scheduling for covered services, resolves moderate issues with payers, and supports pre-visit readiness for patients.

• Perform detailed insurance verification for outpatient and in-office procedures.
• Identify and flag non-covered services or potential coordination of benefits issues.
• Initiate and follow up on prior authorization requests, including appeals if necessary.
• Maintain organized tracking logs for authorizations and coverage status.
• Communicate coverage details to patients and collect out-of-pocket estimates if applicable.
• Serve as a subject matter resource to Patient Account Rep I staff.
• Work insurance queues to resolve pre-service issues that may delay care.
• Report payer trends or systematic verification issues to leadership.

Qualifications

• Associate's degree preferred or equivalent work experience.
• 3+ years of experience in a medical office or insurance verification role.
• Strong understanding of commercial, government, and exchange-based insurance plans.
• Familiarity with EMR systems (eClinicalWorks preferred).
• Proficient in verifying coverage for high-cost services (imaging, injections, procedures).
• Excellent attention to detail and documentation skills.

About MicroSourcing

With over 9,000 professionals across 13 delivery centers, MicroSourcing is the pioneer and largest offshore provider of managed services in the Philippines.

Our commitment to 100% YOU

MicroSourcing firmly believes that our company's strength lies in our people's diversity and talent. We are proud to foster an inclusive culture that embraces individuals of all races, genders, ethnicities, abilities, and backgrounds. We provide space for everyone, embracing different perspectives, and making room for opportunities for each individual to thrive.

At MicroSourcing, equality is not merely a slogan – it's our commitment. Our way of life. Here, we don't just accept your unique authentic self - we celebrate it, valuing every individual's contribution to our collective success and growth. Join us in celebrating YOU and your 100%!

For more information, visit https://www.microsourcing.com/

• Terms & conditions apply