Patient Insurance Verification Specialists (Volume hiring) c/o JFI

John Clements Consultants, Inc.; Philippines; On-site; PHP 335,000 - 670,000; Full time

Job summary

John Clements Consultants, Inc. is recruiting a Patient Insurance Verification Specialist to act as a patient advocate by providing benefit education, verifying coverage, and ensuring cost transparency before services.

The role supports pre-service estimate processes, communicates network status and patient liability, and coordinates with scheduling, clinical, and operations teams. Onsite in Bridgetowne, Quezon City with night shift schedule.

Qualifications

• Bachelor's degree is required.
• At least 2 years of experience in Patient Access and Insurance Verification/Authorization.
• Knowledge of EMR systems such as Athenahealth or Epic.
• Understanding of pre-certification requirements, plan benefits, and medical terminology.
• Familiarity with payer types (PPO, POS, HMO).
• Ability to discuss financial arrangements with patients while maintaining positive relations.
• Willing to work onsite in Bridgetowne, Quezon City with a night shift.

Responsibilities

• Perform patient estimate activities according to standards
• Verify eligibility, benefits, and coverage prior to service
• Determine patient financial responsibility
• Communicate network status and estimate information to patients
• Educate patients regarding benefits and out-of-pocket costs
• Facilitate patient payments and provide financial assistance information
• Coordinate with scheduling, clinical, and operational teams
• Document interactions accurately within the EMR
• Maintain knowledge of payer requirements and patient access workflows

Skills

Patient communication

Team coordination

Education

Bachelor's degree

Tools

Athenahealth

Epic

Job description

About the role

The Patient Insurance Verification Specialist serves as a patient advocate by providing benefit education, insurance verification, and cost transparency while helping eliminate barriers to care. Support the pre-service estimate process and ensure patients receive accurate financial information prior to services.

Key responsibilities

• Perform patient estimate activities according to standards

• Verify eligibility, benefits, and coverage prior to service

• Determine patient financial responsibility

• Communicate network status and estimate information to patients

• Educate patients regarding benefits and out-of-pocket costs

• Facilitate patient payments and provide financial assistance information

• Coordinate with scheduling, clinical, and operational teams

• Document interactions accurately within the EMR

• Maintain knowledge of payer requirements and patient access workflows

About you

• Bachelors degree

• At least 2 years of experience in Patient Access and Insurance Verification/Authorization

• Knowledge of EMR (Athenahealth, Epic or the like)

• Comprehensive understanding of insurance pre-certification requirements, contract benefits, and medical terminology

• Managed care knowledge with the ability to differentiate between insurance plans such as Preferred Provider Organization (PPO), Point of Service (POS), Health Maintenance Organization (HMO)

• Ability to discuss and complete financial arrangements on the estimated patient liability under stressful conditions while maintaining positive patient relations

• Willing to work onsite (Bridgetowne, Quezon City) and night shift schedule