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Open nowFirst seen 5 days ago

Eligibility and Benefits Specialist

CF Outsourcing Solutions37 open roles

Where
Quezon City, Metro Manila, Philippines
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Your applicationOpen nowEligibility and Benefits SpecialistCF Outsourcing Solutions · Quezon City, Metro Manila, Philippines

  1. YouYes, apply to this one.

  2. CV RocketCV written for this posting.

  3. 25 readersRecruiter, hiring manager, skeptic. Round after round.

  4. CV RocketApplied on CF Outsourcing Solutions's own form.

The reply lands in your private mailbox

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The clock on this job

Early applications get read.

12.3% of postings close within 7 days. Measured by our own scanner across the market.

Share of postings closed within
  1. 2.1%1 day
  2. 4.5%3 days
  3. 12.3%7 days
  4. 19.3%14 days
  5. 35.6%30 days
  6. 58.1%60 days
This job: first seen 5 days ago

The posting

Job Summary:

We are seeking a detail-oriented Insurance Verification Specialist to support our healthcare operations by ensuring accurate and timely insurance verification for patients across multiple clinic locations. The ideal candidate will possess a strong understanding of medical insurance benefits, excellent organizational skills, and the ability to manage a high-volume workload while maintaining accuracy.

Key Responsibilities:

  • Verify insurance eligibility and benefits for a minimum of 200 patients per day using payer portals and other verification tools.
  • Review and interpret medical insurance benefits, coverage limitations, authorizations, and eligibility requirements.
  • Document and maintain accurate insurance verification notes and pertinent patient information within the system.
  • Proactively identify and escalate insurance issues that may impact patient scheduling, treatment, or clinic operations.
  • Collaborate with billing, scheduling, and clinical teams to resolve insurance-related concerns efficiently.
  • Update and maintain patient records, including insurance details, demographics, and other information required for accurate claims submission.
  • Create new patient cases and update existing cases within electronic medical records (EMR) or patient management systems.
  • Ensure compliance with organizational policies, payer guidelines, and HIPAA regulations regarding patient information.

Qualifications:

  • Previous experience in insurance verification, healthcare administration, medical billing, or a related field preferred.
  • Working knowledge of medical insurance plans, benefits, eligibility verification, and claims processes.
  • Strong attention to detail with the ability to manage large volumes of work accurately and efficiently.
  • Excellent communication and problem-solving skills.
  • Proficiency in Microsoft Office applications, including Outlook, Excel, and Word.
  • Experience with EMR/EHR systems and insurance verification portals is an advantage.

Preferred Skills:

  • Ability to work independently and meet daily productivity targets.
  • Strong organizational and time-management skills.
  • Experience handling multiple insurance carriers and payer systems.
  • Familiarity with healthcare terminology and revenue cycle processes.

Performance Expectations

  • Consistently meet or exceed daily insurance verification productivity goals.
  • Maintain high accuracy rates in documentation and patient record updates.
  • Effectively communicate and resolve insurance issues to minimize delays in patient care and clinic operations.
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    The review screen in CV Rocket: how each CV was read, round by round.

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