Medical Insurance Verification & Claims Specialist |Hybrid | Nightshift

Infinit-O; Pasay; On-site; PHP 201,000 - 290,000; Full time

Job summary

Infinit-O is seeking an Insurance Verification & Claims Specialist to verify patient insurance coverage, resolve discrepancies, and submit accurate billing claims. You will update patient insurance details in the system and ensure claims are processed correctly with payer portals.

The role requires 1+ years in medical billing or related fields, strong data entry skills, and familiarity with insurance plans and claims submission.

Qualifications

• 1+ years of experience in medical billing, patient access, or insurance verification.
• Strong attention to detail and accurate data entry skills.
• Proficiency with payer portals and electronic eligibility checking tools.
• Basic knowledge of medical insurance plans, coverage types, and claims submission processes.

Responsibilities

• Perform routine eligibility checks to verify patient insurance coverage prior to visits or procedures.
• Research and resolve any insurance eligibility issues or coverage discrepancies.
• Enter new patient insurance card details into the system and run eligibility verification.
• Review medical claims for accuracy and submit them to insurance carriers for payment.

Skills

Medical billing

Attention to detail

Tools

Payer portals

Job description

About the role

The Insurance Verification & Claims Specialist checks patient insurance coverage, fixes coverage issues, reviews and submits billing claims, and updates patient insurance details in the system.

Key responsibilities

• Perform routine eligibility checks to verify patient insurance coverage prior to visits or procedures
• Research and resolve any insurance eligibility issues or coverage discrepancies
• Enter new patient insurance card details into the system and run eligibility verification
• Review medical claims for accuracy and submit them to insurance carriers for payment

About you

• 1+ years experience in medical billing, patient access, or insurance verification
• Proficiency with payer portals and electronic eligibility checking tools
• Basic knowledge of medical insurance plans, coverage types, and claims submission processes
• Strong attention to detail and accurate data entry skills

About us

Infinit-O is the trusted, customer-centric, and sustainable leader in Business Process Optimization. We empower finance and healthcare organizations to thrive in a digital-first world by combining specialized industry expertise and innovative technology for 20 years. As a Certified B Corporation, Infinit-O is committed to the highest standards of social and environmental performance, accountability, and transparency.