WFH Patient Insurance Verification & Authorization Specialist (Healthcare)

BruntWork; Metro Manila; Remote; PHP 360,000 - 480,000; Full time

Job summary

BruntWork is seeking a meticulous Patient Insurance Verification & Authorization Specialist to manage verification, eligibility, authorization, and reverification across healthcare locations. You will ensure patients are cleared before appointments and maintain precise records while collaborating with front desk, scheduling, and billing teams to prevent delays and denials.

This fast-paced role requires strong insurance knowledge, organizational skills, and proactive follow-up to keep claims

Qualifications

• 2+ years of experience in medical insurance verification, intake, administration, or revenue cycle.
• Strong understanding of eligibility, benefits, authorizations, copays and deductibles.
• Experience using medical portals and verification systems; familiar with EHR/EMR.

Responsibilities

• Verify patient insurance eligibility, coverage, benefits, copays and deductibles.
• Confirm demographics and guarantor information; resolve discrepancies.
• Review referrals and workflows to identify prior authorization needs.
• Track and document required authorizations; reverification as needed.
• Reverify coverage regularly and before appointments to catch changes.
• Manage assigned patients from verification to appointment clearance.
• Maintain accurate eligibility and authorization records in systems.
• Coordinate with front desk, scheduling and billing to fix missing data.
• Support billing by flagging issues that could cause denials.
• Provide overflow phone support; explain insurance and financial expectations.
• Maintain confidentiality and comply with healthcare workflows.

Skills

Insurance verification

Eligibility verification

Authorization management

Reverification

EHR/EMR proficiency

Tools

Medical insurance portals

Verification systems

EHR/EMR software

Job description

Job Overview:

We are seeking a detail-oriented Patient Insurance Verification & Authorization Specialist to manage patient insurance verification, eligibility, authorization, and reverification across multiple healthcare locations. You’ll ensure patients are properly cleared before appointments, maintain accurate records, and work closely with front desk, scheduling, and billing teams to prevent delays and claim denials.

This is a fast-paced, high-volume role requiring strong insurance knowledge, organization, accuracy, and proactive follow-up.

Schedule:

• Monday to Thursday, 9:00 am to 5:00 pm and Friday, 9:00 am to 3:00 pm (US Eastern Time, 38 hours per week)

Responsibilities:

• Verify patient insurance eligibility, coverage, benefits, copays, deductibles, and in/out-of-network status.

• Confirm patient demographics and guarantor information and resolve discrepancies.

• Review referrals and scheduling worklists to identify appointments requiring prior authorization.

• Confirm, track, and document required authorizations and promptly 

• Reverify insurance coverage regularly and before appointments to identify changes, lapses, or outdated information.

• Manage assigned patients from initial verification through appointment clearance.

• Maintain accurate eligibility, authorization, referral, and patient information in relevant systems.

• Coordinate with front desk and scheduling teams to resolve missing information and insurance issues.

• Support billing teams by identifying verification or authorization issues that could contribute to claim denials.

• Provide overflow phone support and respond professionally to patient and internal inquiries regarding insurance and financial expectations.

• Maintain patient confidentiality and follow established healthcare workflows and compliance requirements.

• Identify recurring issues and communicate trends that may contribute to front-end errors or claim denials.

Requirements:

• 2+ years of experience in medical insurance verification, patient intake, healthcare administration, or revenue cycle management preferred.

• Strong understanding of insurance eligibility, benefits, authorizations, copays, deductibles, and coverage requirements.

• Experience using medical insurance portals and verification systems.

• Experience with EHR/EMR, referral, or patient management systems preferred.

• Excellent attention to detail, accuracy, organization, and time management.

• Strong written and verbal communication skills.

• Ability to manage high-volume workloads, multiple priorities, and strict deadlines.

• Proactive problem-solving skills with the ability to identify and resolve issues before they affect appointments or claims.

• Ability to work independently while collaborating effectively with front desk, scheduling, billing, and management teams.

• Strong understanding of patient confidentiality and appropriate handling of sensitive healthcare information.

• Reliable, proactive, and comfortable working in a fast-paced environment.

Key Performance Expectations:

• Complete insurance verification and authorization within required turnaround times.

• Keep eligibility, authorization, and patient records accurate and up to date.

• Complete scheduled insurance reverification consistently.

• Identify and elevate issues before they cause appointment delays or claim denials.

• Support clean claims by reducing front-end eligibility and authorization errors.

• Maintain clear and timely communication with patients and internal teams.