713 D O Insurance jobs in the Philippines

Insurance Verification

Pasay, Camarines Sur ₱900000 - ₱1200000 Y access healthcare

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Job Description

About the role

As an Insurance Verification - Healthcare Customer Service Representative at access healthcare, you will be responsible for verifying patient insurance coverage and benefits, ensuring accurate and timely processing of healthcare claims. This full-time role is based in Pasay City, Metro Manila and will involve close collaboration with the wider healthcare team to support the delivery of high-quality customer service.

What you'll be doing

  • Efficiently verify patient insurance coverage and eligibility for healthcare services
  • Accurately interpret and explain insurance policy details to patients and healthcare providers
  • Process healthcare claims in a timely manner, following established procedures
  • Provide clear and courteous communication to patients, healthcare providers and insurance companies
  • Maintain detailed records and documentation of all insurance verification activities
  • Collaborate with the healthcare team to resolve any insurance-related issues or queries
  • Stay up-to-date with changes in insurance policies, regulations and industry best practices

What we're looking for

  • 1- year experience in a customer service or call centre role, preferably in the healthcare industry
  • Strong understanding of medical insurance policies, coverage and claims processing
  • Excellent communication and interpersonal skills, with the ability to explain complex information clearly
  • Proficient in using computer systems and databases to access and update patient records
  • Demonstrated problem-solving skills and attention to detail
  • Ability to work collaboratively as part of a team and handle multiple tasks simultaneously
  • Commitment to providing exceptional customer service and patient care

What we offer

At access healthcare, we are committed to creating a supportive and inclusive work environment that empowers our employees to grow and thrive. Our comprehensive benefits package includes competitive salary, paid time off, health insurance, and opportunities for professional development. We also provide a range of wellness initiatives and social activities to promote work-life balance.

About us

access healthcare is a leading provider of healthcare services, dedicated to improving patient outcomes and experiences. With a skilled and diverse team, we strive to deliver the highest standards of care and customer service. Our mission is to make healthcare more accessible and affordable for all, and we take pride in our positive impact on the communities we serve.

Apply now

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Insurance Advisor

Iloilo, Iloilo ₱30000 - ₱60000 Y Cyrene Insurance Agency

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Job Description

Company Overview:

We are a trusted leader in financial services, helping individuals and families secure their future with the right insurance and investment solutions. Our team is expanding, and we are looking for motivated individuals who want a career that offers both flexibility and unlimited growth.



Why Join Us?
  • 100% Work-from-anywhere setup
  • Choose your own working hours
  • Uncapped earning potential (commission + incentives)
  • Free world-class training and certifications
  • Exclusive travel rewards and recognition for top performers
  • Clear career path to management and leadership positions
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Insurance Assistant

₱150000 - ₱250000 Y NXT Mile Motors Inc.

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Job Description

  • Supports the administration of vehicle insurance policies by assisting with client inquiries, processing applications, and documents.
  • Maintaining policy records and helping with claims processing and coordination.
  • Collecting and verifying necessary information, assisting with data entry, and communicating with clients and other stakeholders.

Qualifications*

  • Graduate of any business course.
  • Familiarity with auto insurance policy.
  • Preferably with at least one (1) year of experience in an insurance-related role.
  • With good customer relations skills.
  • With administrative and customer service experience.

Job Type: Full-time

Benefits:

  • Paid training

Work Location: In person

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Medical Insurance

₱20000 - ₱25000 Y Cool Blue VA

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Job Description

Virtual Medical Assistant – Insurance Specialist (Remote)

Starting Salary: $4.5/hr

Location: Remote (Work-from-Home)

Employment Type: Full-Time (40 hours/week)

Apply thru this link:

Read job description properly before applying, applications not done thru here will most likely be ignored.

About Us

CoolBlueVA is a healthcare virtual assistant company supporting medical professionals across the U.S. We're expanding our team and looking for experienced, reliable, and detail-oriented Virtual Medical Assistants.

Role Overview

We're hiring Medical Insurance Specialists with hands-on experience in:

Insurance eligibility verification

Pre-authorizations

Referral management

Claims processing

Credentialing (preferred but not required )

Qualifications


• 1+ year experience in medical insurance processes

• Excellent English communication and phone skills

• Organized, detail-oriented, and able to multitask

• Comfortable with graveyard shift (12 AM – 9 AM PHT)

• Able to work independently in a remote setting

• Must have dual monitors

• Stable internet (minimum 50 Mbps or can upgrade)

Technical Requirements


• Desktop or laptop only (MacBooks and phones not allowed)

• Device must have at least a Ryzen 5 or Intel i5 processor

• Must have a backup device

• Dual monitors required

• Reliable primary and backup internet

• Power backup (UPS, generator, backup laptop, etc.)

Kind Reminder

At this time, we are prioritizing applicants who are ready to onboard without existing full-time commitments. If you're currently employed, we encourage you to apply once your schedule can fully accommodate the role.

Apply now and build your remote healthcare career with CoolBlueVA

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Insurance Specialist

₱18000 - ₱28000 Y SAPIENT GLOBAL BPO CAREERS

Posted today

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Job Description

We are mass hiring Call Center Agents across our Metro Manila sites Earn Up to 28K Monthly + 30K Sign-On Bonus. Open for applicants with NO BPO EXPERIENCE.

Job Responsibilities:

  • Help customers with the claims process, including submitting claims and giving updates on their status.
  • Clarify billing procedures, payment methods, and policy renewal details for customers.
  • Make sure all customer interactions follow industry regulations and company guidelines.

Why Join Us?

  • Competitive Salary – Up to 28K
  • Exciting 30K Sign-On Bonus
  • Flexible shifts – Day, Night, and Graveyard
  • Options for Voice and Non-Voice Accounts
  • Opportunities in Local and International Accounts

URGENT HIRING Apply today and get hired immediately

Job Types: Full-time, Permanent, Fresh graduate

Pay: Php18, Php28,000.00 per month

Benefits:

  • Additional leave
  • Company events
  • Free parking
  • On-site parking
  • Opportunities for promotion
  • Paid training
  • Pay raise
  • Promotion to permanent employee

Work Location: In person

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Insurance Specialist

Mandaluyong, National Capital Region ₱336000 Y Sapient Global Services

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Job Description

We are mass hiring Call Center Agents across our Metro Manila sites Earn Up to 28K Monthly + 30K Sign-On Bonus. Open for applicants with NO BPO EXPERIENCE.

Job Responsibilities:

  • Help customers with the claims process, including submitting claims and giving updates on their status.
  • Clarify billing procedures, payment methods, and policy renewal details for customers.
  • Make sure all customer interactions follow industry regulations and company guidelines.

Why Join Us?

  • Competitive Salary – Up to 28K
  • Exciting 30K Sign-On Bonus
  • Flexible shifts – Day, Night, and Graveyard
  • Options for Voice and Non-Voice Accounts
  • Opportunities in Local and International Accounts

URGENT HIRING Apply today and get hired immediately

Job Types: Full-time, Permanent, Fresh graduate

Pay: Up to Php28,000.00 per month

Benefits:

  • Additional leave
  • Company events
  • Free parking
  • Health insurance
  • On-site parking
  • Opportunities for promotion
  • Paid training
  • Pay raise
  • Promotion to permanent employee

Work Location: In person

This advertiser has chosen not to accept applicants from your region.

Insurance Specialist

₱336000 Y Sapient Global Job Careers

Posted today

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Job Description

We are mass hiring Call Center Agents across our Metro Manila sites Earn Up to 28K Monthly + 30K Sign-On Bonus. Open for applicants with NO BPO EXPERIENCE.

Job Responsibilities:

  • Help customers with the claims process, including submitting claims and giving updates on their status.
  • Clarify billing procedures, payment methods, and policy renewal details for customers.
  • Make sure all customer interactions follow industry regulations and company guidelines.

Why Join Us?

  • Competitive Salary – Up to 28K
  • Exciting 30K Sign-On Bonus
  • Flexible shifts – Day, Night, and Graveyard
  • Options for Voice and Non-Voice Accounts
  • Opportunities in Local and International Accounts

URGENT HIRING Apply today and get hired immediately

Job Types: Full-time, Permanent, Fresh graduate

Pay: Up to Php28,000.00 per month

Benefits:

  • Additional leave
  • Company events
  • Flexible schedule
  • Flextime
  • Free parking
  • Gym membership
  • Health insurance
  • On-site parking
  • Opportunities for promotion
  • Paid training
  • Pay raise
  • Promotion to permanent employee

Work Location: In person

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Insurance Specialist

₱250000 - ₱500000 Y The Functionary

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Job Description

Job Description:

Role Overview:

As a Tier 1 Customer Support Representative in the Insurance Line of Business

(LOB), you will be the first line of support for customers who are new to insurance

billing or seeking help with foundational insurance processes. Your role centers on

guiding healthcare providers through getting started with insurance in the platform,

handling enrollment-related tasks, and addressing general billing inquiries.

You'll be responsible for delivering clear, compassionate, and efficient support to

ensure our users feel confident and capable as they begin their insurance billing

journey.

As a Tier 2 Customer Support Representative in the Insurance Line of Business (LOB), your primary responsibility is to assist customers with complex insurance billing issues, particularly those related to claim processing, rejections, denials, and secondary billing. You'll provide advanced troubleshooting and education to healthcare providers, ensuring accurate submission and resolution of insurance claims. This role demands a strong understanding of insurance billing workflows and the ability to clearly explain technical solutions to providers in a compassionate and timely manner.

Level 1 Primary Responsibilities:

Getting Started Support:

  • Respond to new users' inquiries about insurance workflows such as:
  • How to file insurance claims
  • How to charge clients copays
  • How to enroll for Payment Reports (ERAs)
  • Guide providers in understanding the insurance credentialing process and how to get credentialed with payer panels.

Enrollment Assistance:

  • Assist with uploading, submitting, updating, or terminating enrollment paperwork.
  • Answer questions about enrollment status, provide proof of enrollment acceptance, and troubleshoot rejections.
  • Support changes involving:
  • TPID/submitter IDs
  • Change of vendor or clearinghouse
  • Selection or addition of payer IDs
  • Assist with issues like:
  • "Status 400" error messages
  • Duplicate NPI assignments in the system
  • Troubleshooting Support:
  • Resolve primary claim scrub errors and help identify missing or invalid information.
  • Provide guidance on Authorization Tracking setup and use.
  • Answer basic deductible-related questions using available help center resources.
  • Support users with Health Information Exchange (HIE) or HealthConnex related questions, especially for North Carolina providers.

Key Skills & Competencies:

  • Strong knowledge of insurance enrollment workflows, payer requirements, and clearinghouse terminology.
  • Clear and empathetic written communication skills.
  • Ability to break down complex insurance topics into accessible language.
  • Proficiency in using support ticketing systems and customer help tools.
  • Attention to detail when reviewing and troubleshooting forms and enrollments.

Level 2 Primary Responsibilities:

Claims Troubleshooting:

  • Investigate and resolve:
  • Claim rejections and denials
  • Issues with payers not receiving claims
  • Delayed or missing payments
  • Provide support for scrub errors and field-specific issues on the CMS-1500 form (e.g., Box 8, Box 24i/24j).
  • Assist with rendering taxonomy code and "Accept Assignment" setting discrepancies.

Secondary Insurance Support:

  • Guide users through:
  • Filing secondary claims
  • Entering accurate data to ensure successful secondary claim submission
  • Understanding secondary claim workflows and timelines
  • Interpret and help customers read Explanation of Benefits (EOBs),
  • Electronic Remittance Advices (ERAs), and Payment Reports.
  • Troubleshoot issues with missing or incorrect secondary ERAs or Payment Reports.
  • Create and manage requests with Eligible when primary EOBs are missing or incomplete.

Special Scenarios:

  • Handle Medicare crossover inquiries (e.g., secondary info coming from Medicare).
  • Advise customers on timely filing limits and corrected/resubmitted claim procedures.
  • Support users with missing Payment Reports and how to locate or request them.
  • Provide general guidance on billing profiles (escalate group-specific issues per protocol).

Preferred Qualifications:

  • 2+ year in a healthcare or insurance-related customer support role.
  • Familiarity with ERA/EOBs, NPIs, payer IDs, and CMS-1500 claim forms.
  • Experience working with digital platforms for billing or EHR systems.
  • Knowledge of healthcare credentialing or insurance billing basics.
  • In-depth familiarity with CMS-1500 forms, clearinghouses, payer requirements, and billing systems.
  • Experience working with secondary billing scenarios, Medicare, and payer follow-ups.
  • Knowledge of clearinghouse tools such as Eligible and ERA file troubleshooting.
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Insurance Specialist

₱300000 - ₱600000 Y Yulon Insurance Agency Philippines Inc

Posted today

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Job Description


•Ensures all insurance requests for quotation, policy issuance and/or endorsements are attended to.


•Monitoring of renewal business and maintaining the renewal tracker.


•Assist the team in insurance administrative tasks such as but not limited to maintenance of original policy contracts, documentation and outgoing/receiving of documents.


•Other functions the management may see fit and needed in the insurance sales and operations

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Insurance Specialist

Cainta, Rizal ₱288000 - ₱336000 Y Sapient Philippines Hub

Posted today

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Job Description

We are mass hiring Call Center Agents across our Metro Manila sites Earn Up to 28K Monthly + 30K Sign-On Bonus. Open for applicants with NO BPO EXPERIENCE.

Job Responsibilities:

  • Help customers with the claims process, including submitting claims and giving updates on their status.
  • Clarify billing procedures, payment methods, and policy renewal details for customers.
  • Make sure all customer interactions follow industry regulations and company guidelines.

Why Join Us?

  • Competitive Salary – Up to 28K
  • Exciting 30K Sign-On Bonus
  • Flexible shifts – Day, Night, and Graveyard
  • Options for Voice and Non-Voice Accounts
  • Opportunities in Local and International Accounts

URGENT HIRING Apply today and get hired immediately

Job Types: Full-time, Permanent, Fresh graduate

Pay: Php18, Php28,000.00 per month

Benefits:

  • Additional leave
  • Company events
  • Flexible schedule
  • Free parking
  • Gym membership
  • Health insurance
  • On-site parking
  • Opportunities for promotion
  • Paid training
  • Pay raise
  • Promotion to permanent employee

Work Location: In person

This advertiser has chosen not to accept applicants from your region.
 

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