Senior Pharmacy Data Entry (BPO PIONEER ACCOUNT)

MedHealth Connect Outsourcing Inc.; Quezon City; On-site; PHP 279,000 - 469,000; Full time

Benefits offered by this job

Onsite - Eastwood/Libis

Shifting schedule

Job summary

MedHealth Connect Outsourcing Inc. in Manila is seeking a Pharmacy Data Entry and Claims Specialist to accurately interpret prescription information, enter data into the pharmacy system, and adjudicate insurance claims.

The role requires keen attention to detail, strong English communication, and 2–4 years of solid BPO healthcare experience. Onsite work in Eastwood, Libis, Quezon City with a shifting schedule.

Qualifications

• 2 to 4 years of solid BPO healthcare experience.
• Strong attention to detail and accuracy.
• Strong English communication is required.
• Knowledge of pharmacy and medical terminology.
• Ability to interpret prescription instructions and abbreviations.
• Excellent data-entry and computer skills.
• Experience with pharmacy or healthcare information systems.
• Ability to work in a fast-paced, deadline-driven environment.
• Willing to work onsite in Eastwood, Libis, Quezon City with shifting schedules.

Responsibilities

• Read, review, and accurately interpret prescription orders and medication information.
• Enter prescription and patient information into the electronic pharmacy filling system.
• Interpret common medical and pharmacy abbreviations and terminology.
• Review prescriptions for completeness and accuracy and identify missing or unclear information.
• Communicate with appropriate healthcare facilities or personnel to obtain missing prescription information.
• Process prescription claims and ensure accurate billing to third-party insurance payors.
• Review and resolve rejected or denied insurance claims.
• Verify patient insurance eligibility and coverage.
• Contact insurance carriers by phone to clarify benefits, resolve coverage issues, and obtain necessary information for claim processing.
• Support the onboarding of new healthcare facilities, including the creation and maintenance of patient profiles.
• Maintain accurate and up-to-date patient and prescription records.
• Follow established pharmacy, billing, privacy, and data-entry procedures.
• Ensure all prescription and insurance information is processed accurately and within required turnaround times.
• Escalate complex prescription, insurance, or billing issues to the appropriate team or department.
• Maintain confidentiality of patient, prescription, and insurance information in accordance with company policies and applicable privacy regulations.

Skills

Attention to detail

English communication

BPO healthcare experience

Pharmacy terminology

Data entry

Insurance claims

Phone communication

Onsite work

Job description

The Pharmacy Data Entry and Claims Specialist is responsible for accurately interpreting and processing prescription information, entering prescription data into the pharmacy filling system, and ensuring timely and accurate insurance claim adjudication. The role involves reviewing prescriptions, maintaining patient profiles, resolving prescription and insurance-related issues, and communicating with insurance carriers to verify eligibility and coverage.

The position requires strong attention to detail, knowledge of medical and pharmacy terminology, accuracy in data entry, and the ability to effectively troubleshoot and resolve issues in a timely manner.

Duties and Responsibilities

• Read, review, and accurately interpret prescription orders and medication information

• Enter prescription and patient information into the electronic pharmacy filling system

• Interpret common medical and pharmacy abbreviations and terminology

• Review prescriptions for completeness and accuracy and identify missing or unclear information

• Communicate with appropriate healthcare facilities or personnel to obtain missing prescription information

• Process prescription claims and ensure accurate billing to third-party insurance payors

• Review and resolve rejected or denied insurance claims

• Verify patient insurance eligibility and coverage

• Contact insurance carriers by phone to clarify benefits, resolve coverage issues, and obtain necessary information for claim processing

• Support the onboarding of new healthcare facilities, including the creation and maintenance of patient profiles

• Maintain accurate and up-to-date patient and prescription records

• Follow established pharmacy, billing, privacy, and data-entry procedures

• Ensure all prescription and insurance information is processed accurately and within required turnaround times

• Escalate complex prescription, insurance, or billing issues to the appropriate team or department

• Maintain confidentiality of patient, prescription, and insurance information in accordance with company policies and applicable privacy regulations

Required Skills and Qualifications

• Strong attention to detail and accuracy

• STRONG ENGLISH COMMUNICATION IS REQUIRED

• 2 TO 4 YEARS OF SOLID BPO HEALTHCARE EXPERIENCE

• Good understanding of pharmacy and medical terminology

• Ability to interpret prescription instructions and medical abbreviations

• Excellent computer and data-entry skills

• Ability to work with pharmacy or healthcare information systems

• Strong communication and problem-solving skills

• Ability to communicate professionally with insurance companies and healthcare personnel

• Ability to work efficiently in a fast-paced, deadline-driven environment

• Strong organizational and multitasking skills

• Previous experience in pharmacy, healthcare, medical billing, insurance claims, or data entry is an advantage.

• Willing to work onsite in Eastwood, Libis, Quezon City and Shifting schedule