Talent.com
This job offer is not available in your country.
Insurance Verification & Scheduling Specialist (US Healthcare)

Insurance Verification & Scheduling Specialist (US Healthcare)

BizForceMetro Manila, PH
1 day ago
Job type
  • Quick Apply
Job description

#1 PH Workforce Delivering to the US

MedCore Solutions, the medical division of  BizForce  is looking for a reliable and experienced Insurance Verification Specialist (with patient appointment scheduling experience) to support a high-volume endocrinology clinic remotely. We are a well-established practice with five active providers and a growing patient base. Your role will be vital in ensuring smooth front-office operations and exceptional patient service.

Responsibilities

  • Verify patients' active insurance coverage (commercial, Medicare, Medicaid, and managed care plans) prior to appointments
  • Obtain and document eligibility, coverage limits, copays, deductibles, and referral or authorization requirements
  • Contact insurance companies via portal or phone to clarify benefits and resolve issues in real time
  • Accurately update insurance details in the EMR (eClinicalWorks)
  • Schedule new and follow-up appointments efficiently, following provider availability and visit type protocols
  • Reschedule appointments as needed while minimizing patient inconvenience
  • Coordinate with the internal clinical and admin team to reduce scheduling conflicts
  • Prioritize urgent appointment requests and manage double bookings as appropriate
  • Handle a high volume of inbound and outbound calls i n a professional, friendly manner
  • Provide patients with clear instructions and information regarding appointments, insurance, and pre-visit requirements
  • Address patient inquiries with empathy and efficiency, escalating complex concerns when needed
  • Minimize patient hold time and follow up on any missed or abandoned calls promptly

Requirements

  • 2+ years of experience in Insurance Verification
  • Strong knowledge of US healthcare insurance processes, eligibility rules, and payer types
  • Hands-on experience with eClinicalWorks (eCW) preferred
  • Excellent spoken English with a neutral or clear accent—this is crucial due to the patient-facing nature of the role
  • Comfortable using EMR systems, phone systems, and productivity tools
  • Strong multitasking, organizational, and critical thinking skills
  • Able to work independently while collaborating remotely with a clinical team
  • Preferred But Not Required

  • Proficiency in Arabic and / or Spanish
  • Other details : Start Date : ASAP

    Schedule : 8 hours / day Monday-Friday; 40 hours / week

    Days Off : Saturday & Sunday

    Time zone : TBD

    Work Set-up : Fully Remote

    System Requirements

    Device (Desktop or Laptop)

  • Processor :
  • Windows Devices : Intel Core i5 (or higher) or AMD Ryzen 5 (or higher).
  • Mac Devices : Apple M1 chip or newer.
  • RAM :
  • Minimum of 8GB or higher for optimal performance.
  • Operating System :
  • Windows : Windows 11 Pro (Windows 10 Pro is acceptable but not preferred). The operating system must have a legitimate license.
  • Mac : macOS compatible with M1 or newer chips.
  • Hard Disk :
  • At least an SSD for faster processing and performance.
  • Internet Connectivity :
  • Minimum speed of 50 Mbps via a  wired connection  for stability and reliability.
  • A backup internet connection is highly recommended.
  • Power Supply :
  • A backup power supply (e.g., UPS or generator) to prevent disruptions during power outages  (optional but encouraged)
  • Benefits

  • Permanent Work From Home
  • Weekly Paychecks
  • Fixed Weekends Off
  • Great Company Culture and No Micromanagement
  • Thriving Company Culture with Complete Autonomy
  • ____________________________________________________________________

    Who We Are

    MedCore Solutions is one of the fastest-growing global outsourcing companies in the world, founded in the US in Tucson, Arizona and is now operational in PH!

    Our Commitment to delivering high-quality results for our clients and the only way to do that is ensuring a rewarding, respectful and productive experience for our employees. We hold the same values for both our customers and our employees.

    Why work with us?

    MedCore Solutions (MCS) is a single source solution for Healthcare administration. MCS is an industry leader for medical billing, credentialing, scribing, insurance verification, compliance and virtual staffing. Upon your request our team of certified coders, can perform a detailed billing analysis to determine if you are receiving the maximum amount of revenue while conforming to CMS guidelines. Ask how MCS can streamline your hospital or practice making healthcare administration simple, effective, and affordable. We pride ourselves on giving you the best solutions tailored to your practice’s specific needs, so you can focus on your patients and revenue producing activities.

    Create a job alert for this search

    Insurance Specialist • Metro Manila, PH

    Related jobs
    • Promoted
    Outbound Sales Representative (Healthcare) | On-site

    Outbound Sales Representative (Healthcare) | On-site

    MCI CareersSan Fernando, Pampanga, Philippines
    MCI is one of the fastest-growing tech-enabled business services companies in the USA, with a strong call center footprint and operations that extend across multiple countries.We deliver Customer E...Show moreLast updated: 30+ days ago
    Medical Billing Specialist (PH | Remote)

    Medical Billing Specialist (PH | Remote)

    OperationsArmyMakati City, Metro Manila, Philippines
    Quick Apply
    Medical Billing Specialist or Revenue Cycle Management (RCM) Specialist.Full-time | 45 hours / week | 9 : 00 AM - 5 : 00 PM PST. Were seeking a detail-oriented.This role is primarily focused on reducing c...Show moreLast updated: 30+ days ago
    Prior Authorization Specialist (US Healthcare) | Permanent WFH

    Prior Authorization Specialist (US Healthcare) | Permanent WFH

    BizForceMetro Manila, PH
    Quick Apply
    PH Workforce Delivering to the US.Bizforce, is seeking a skilled.Prior Authorization Specialist.Prior Authorization Specialist. These prior authorizations will include biologic medications, procedur...Show moreLast updated: 30+ days ago
    Credentialing Specialist

    Credentialing Specialist

    Elevate Calls IncManila, NCR, Philippines
    Quick Apply
    Credentialing Specialist Maryland Healthcare Providers.Remote (Permanent Work From Home Position).Maryland healthcare credentialing. In this role, you will oversee the credentialing and enrollment p...Show moreLast updated: 30+ days ago
    Credentialling Specialist

    Credentialling Specialist

    Elevate Calls IncManila, NCR, Philippines
    Quick Apply
    Job Title : Credentialing Specialist (Healthcare Account).Remote (Permanent Work From Home Position).We are seeking a dedicated and detail-oriented Credentialing Specialist to join our team.As a Cre...Show moreLast updated: 30+ days ago
    Medical Prior Authorization - Insurance Verification Specialist

    Medical Prior Authorization - Insurance Verification Specialist

    Med Supply USManila, Philippines
    Quick Apply
    Medical Prior Authorization-Insurance Verification Specialist.The Prior Authorization Specialist plays a crucial role in the healthcare industry by ensuring that medical services, procedures, and m...Show moreLast updated: 30+ days ago
    U.S. Benefits Analyst

    U.S. Benefits Analyst

    Genfinity Philippines, Inc.Makati, Makati, PH
    Quick Apply
    US BENEFITS ANALYST Position Overview : We are looking for a highly organized and detail-oriented Benefits Analyst to support the operational and administrative aspects of our global benefits progra...Show moreLast updated: 27 days ago
    Marketing Specialist (Insurance)

    Marketing Specialist (Insurance)

    SuperStaffAngeles, Pampanga, PH
    Quick Apply
    The position assumes responsibility for the marketing of assigned commercial accounts, submitting information provided by the marketing coordinator to targeted carriers (either via online input to ...Show moreLast updated: 30+ days ago
    Insurance Verification & Data Specialist

    Insurance Verification & Data Specialist

    RML-PHQuezon City, Manilla, PH
    Quick Apply
    Insurance Verification & Missing Information Specialist RML-PH - Quezon City (Remote) Please note : Submitting multiple applications for the same position may delay your review of your candidacy...Show moreLast updated: 2 days ago
    Claims Specialist for US Healthcare Insurance

    Claims Specialist for US Healthcare Insurance

    ISTA Personnel SolutionsMakati, Metro Manila, PH
    Quick Apply
    ISTA Solutions, an outsourcing / offshoring company, is in search of an experienced .As a member of our team, you will have the opportunity to work with highly skilled professionals, who priorit...Show moreLast updated: 30+ days ago
    Claims Specialist | US Healthcare Insurance | Earn a 15K Signing Bonus

    Claims Specialist | US Healthcare Insurance | Earn a 15K Signing Bonus

    ISTA Personnel SolutionsMandaluyong City, Metro Manila, PH
    Quick Apply
    ISTA Solutions, an outsourcing / offshoring company, is in search of an experienced .As a member of our team, you will have the opportunity to work with highly skilled professionals, who priorit...Show moreLast updated: 10 days ago
    Medical Billing and Insurance Verification Specialist

    Medical Billing and Insurance Verification Specialist

    BruntWorkManila, 00, ph
    Quick Apply
    Monday to Friday, 8 : 00 AM – 5 : 00 PM EST (1-hour unpaid break).Join a thriving healthcare practice dedicated to delivering exceptional patient care and ensuring smooth healthcare operations.This est...Show moreLast updated: 13 days ago
    Insurance Verification and Authorization Specialist - Virtual Assistant

    Insurance Verification and Authorization Specialist - Virtual Assistant

    Unlock HBAManila, 00, ph
    Quick Apply
    Virtual Rockstar is hiring an Insurance Verification & Authorization Specialist on behalf of a privately owned physical therapy practice that provides health, fitness, and wellness services to ...Show moreLast updated: 30+ days ago
    Team Lead for US Healthcare Insurance (VOB) | Get a 15K Signing Bonus

    Team Lead for US Healthcare Insurance (VOB) | Get a 15K Signing Bonus

    ISTA Personnel SolutionsMandaluyong, Metro Manila, PH
    Quick Apply
    ISTA Solutions, an outsourcing / offshoring company, is in search of an experienced Team Lead to join our rapidly expanding team. As a member of our team, you will have the opportunity to work with hi...Show moreLast updated: 6 days ago
    Insurance and Billing Specialist - Virtual Assistant

    Insurance and Billing Specialist - Virtual Assistant

    Unlock HBAManila, 00, ph
    Quick Apply
    Virtual Rockstar is hiring a reliable and detail-oriented Medical Virtual Assistant for our client’s team to support a growing physical therapy practice in Arizona (MST). In this fully remote positi...Show moreLast updated: 2 days ago
    Medical Insurance Verification Specialist

    Medical Insurance Verification Specialist

    BruntWorkMetro Manila, 00, ph
    Quick Apply
    Are you an experienced professional in.Insurance Verification Specialist.In this role, you’ll be the go-to expert for verifying patient eligibility and benefits, handling complex cases across multi...Show moreLast updated: 8 days ago
    Verification Specialist (Healthcare Insurance)

    Verification Specialist (Healthcare Insurance)

    SuperStaffAngeles, Pampanga, PH
    Quick Apply
    The Verification Specialist ensures the accuracy of patient demographic and insurance information to support efficient and compliant physical therapy services. This role involves regular communicati...Show moreLast updated: 5 days ago
    Healthcare Insurance Coordinator (PH | Remote)

    Healthcare Insurance Coordinator (PH | Remote)

    OperationsArmyQuezon City, Metro Manila, Philippines
    Quick Apply
    Healthcare Insurance Coordinator (Full-Time).We are seeking an experienced and detail-oriented.Healthcare Insurance Coordinator. This role is ideal for someone with a strong background in U.What You...Show moreLast updated: 30+ days ago