ZR_1024_JOB

Zohorecruit; Makati; Vor Ort; PHP 335.000 - 502.000; Vollzeit

Zusammenfassung

iScale Solutions, in Makati City, Philippines, is building a talent pool for DME/Healthcare Back Office Support roles to assist U.S. healthcare providers. Roles include patient intake, eligibility verification, prior authorization, billing, and documentation with emphasis on accuracy and compliance.

We seek professionals with DME/HME or healthcare administration experience who can work US-aligned night shifts and coordinate across patients, providers, and payers while maintaining confidentiality.

Qualifikationen

• Experience in DME/HME and US healthcare BPO.
• Experience with EMR/EHR systems preferred.
• Experience with DME billing and Revenue Cycle Management (RCM).
• Ability to meet productivity and quality targets.
• Attention to accuracy and confidentiality in healthcare data.

Aufgaben

• Process patient referrals and DME orders; verify patient and prescription information, review documents, and coordinate missing requirements.
• Verify eligibility, benefits, and DME coverage with Medicare, Medicaid, and commercial payers; submit and follow up on authorization requests.
• Review prescriptions, SWOs, CMNs, and supporting documentation to ensure completeness and payer compliance.
• Prepare and submit DME claims, use HCPCS codes/modifiers, monitor status, and support posting, AR/denials/appeals.
• Communicate with patients, providers, and payers regarding documentation, coverage, authorizations, billing, and order status.
• Maintain accurate, confidential records across healthcare systems.

Kenntnisse

Accuracy

Attention to detail

Analytical thinking

Problem solving

Ownership

Communication

Patient/customer service orientation

Confidentiality

Tools

Brightree

NikoHealth

Availity

Office Ally

EMR/EHR systems

DME/HME platforms

Insurance payer portals

CRM & ticketing systems

Jobbeschreibung

Makati Central Post Office, Philippines | Posted on 08/10/2026

• State/Province National Capital Region (Manila)
• Country Philippines

Job Description

At iScale Solutions, we build dedicated teams that help businesses streamline operations and deliver exceptional service. As we expand our presence in the healthcare sector, we are building a talent pool for upcoming Durable Medical Equipment (DME) / Healthcare Back Office Support operations serving U.S. healthcare providers.

We are looking for detail-oriented DME / Healthcare Back Office Specialists to support key functions such as patient intake, insurance eligibility and benefits verification, prior authorization, order processing, medical documentation, billing, claims follow-up, and patient/provider coordination.

We value accuracy, accountability, attention to detail, and service excellence, especially in healthcare operations where quality and compliance are essential.

This opportunity is ideal for professionals with experience in DME/HME, U.S. healthcare BPO, medical billing, Revenue Cycle Management (RCM), insurance verification, prior authorization, healthcare administration, or patient support who want to grow with iScale’s expanding healthcare services.

Key Responsibilities

Depending on assignment and specialization, responsibilities may include:

Patient Intake & Order Processing: Process patient referrals and DME orders, verify patient and prescription information, review supporting documents, and coordinate missing requirements.

Insurance Verification & Prior Authorization: Verify eligibility, benefits, and DME coverage with Medicare, Medicaid, and commercial payers; submit and follow up on authorization requests.

Documentation & Compliance: Review prescriptions, SWOs, CMNs, and supporting clinical documentation to ensure completeness and compliance with payer and client requirements.

Medical Billing & RCM: Prepare and submit DME claims, work with HCPCS codes and modifiers, monitor claim status, and support payment posting, AR, denials, appeals, and claim corrections.

Patient, Provider & Payer Coordination: Communicate professionally with patients, healthcare providers, physician offices, and insurance payers regarding documentation, coverage, authorizations, billing, and order status.

Maintain accurate, confidential, and timely records across assigned healthcare and client systems.

Requirements

Preferred Systems Experience

Experience with any of the following is an advantage:

Brightree

NikoHealth

Availity

Office Ally

Electronic Medical Record (EMR/EHR) systems

DME/HME billing and order-management platforms

Insurance payer portals

CRM and ticketing systems

Equivalent healthcare systems experience will also be considered.

Preferred Candidate Backgrounds

We welcome applicants with experience as:

DME/HME Intake Specialist

DME Order Processing Specialist

Insurance Verification Specialist

Eligibility & Benefits Specialist

Prior Authorization Specialist

Medical Billing Specialist

Accounts Receivable / AR Specialist

Claims & Denials Specialist

Revenue Cycle Management (RCM) Specialist

Medical Documentation Specialist

Healthcare Customer Service Representative

Provider Services Representative

Successful candidates should demonstrate:

Accuracy and attention to detail

Healthcare process awareness

Analytical and problem-solving ability

Ownership and accountability

Effective communication

Patient and customer service orientation

Ability to meet productivity and quality targets

Ability to work independently and collaboratively

Confidentiality and professional handling of sensitive information

Work Setup: Onsite Location: Makati City, Philippines Schedule: Must be willing to work U.S.-aligned/night-shift schedules as required by the client.