48 Healthcare Insurance Positions jobs in the Philippines

Schedule: 45 hours/week | 9:00 AM - 5:00 PM PST

Location: Fully Remote

We are seeking an experienced and detail-oriented Healthcare Insurance Coordinator to support our insurance verification and authorization processes. This role is ideal for someone with a strong background in U.S. healthcare insurance, who thrives in a structured, fast-paced, and compliance-driven environment.

• Contact insurance providers to verify patient eligibility and coverage
• Accurately document payer responses in internal systems
• Flag missing or unclear information for internal review
• Follow payer-specific guidelines (e.g., Medicaid vs. commercial insurance)

• Review patient intake documents and treatment recommendations
• Complete payer-specific authorization request forms
• Assemble and submit packets with supporting documents (e.g., treatment plans, credentials)
• Use payer portals, fax, or email to submit authorizations
• Track confirmation statuses and log any necessary follow-ups

• Review clinical documentation and ongoing treatment plans
• Summarize clinical data in alignment with payer requirements
• Ensure all documentation meets compliance standards (e.g., measurable goals)
• Copy and format relevant data (e.g., CPT codes, session logs)
• Coordinate with clinicians for clarification and missing details
• Track submission timelines to avoid lapses in treatment approvals

• 4+ years of experience in U.S. healthcare insurance coordination or revenue cycle management
• Deep understanding of VOB, prior authorizations, and treatment re-authorizations
• Familiarity with payer guidelines, including Medicaid and commercial plans
• Experience working with insurance portals or healthcare systems
• High attention to detail and ability to handle sensitive patient data securely
• Excellent written and verbal communication skills in English
• Reliable internet connection and ability to work consistently 45 hours per week

Healthcare Insurance Coordinator (Full-Time)
Schedule:
45 hours/week | 9:00 AM - 5:00 PM PST

Location:
Fully Remote

About The Role
We are seeking an experienced and detail-oriented
Healthcare Insurance Coordinator
to support our insurance verification and authorization processes. This role is ideal for someone with a strong background in U.S. healthcare insurance, who thrives in a structured, fast-paced, and compliance-driven environment.

What You'll Be Responsible For
1. Verification of Benefits (VOB)

• Contact insurance providers to verify patient eligibility and coverage
• Accurately document payer responses in internal systems
• Flag missing or unclear information for internal review
• Follow payer-specific guidelines (e.g., Medicaid vs. commercial insurance)

2. Initial Authorization Support

• Review patient intake documents and treatment recommendations
• Complete payer-specific authorization request forms
• Assemble and submit packets with supporting documents (e.g., treatment plans, credentials)
• Use payer portals, fax, or email to submit authorizations
• Track confirmation statuses and log any necessary follow-ups

3. Treatment Re-Authorization

• Review clinical documentation and ongoing treatment plans
• Summarize clinical data in alignment with payer requirements
• Ensure all documentation meets compliance standards (e.g., measurable goals)
• Copy and format relevant data (e.g., CPT codes, session logs)
• Coordinate with clinicians for clarification and missing details
• Track submission timelines to avoid lapses in treatment approvals

What Were Looking For

• 4+ years of experience in U.S. healthcare insurance coordination or revenue cycle management
• Deep understanding of VOB, prior authorizations, and treatment re-authorizations
• Familiarity with payer guidelines, including Medicaid and commercial plans
• Experience working with insurance portals or healthcare systems
• High attention to detail and ability to handle sensitive patient data securely
• Excellent written and verbal communication skills in English
• Reliable internet connection and ability to work consistently 45 hours per week

Job Description: Insurance Operations

Key Responsibilities:

• Manage insurance-related tasks independently across various client systems and platforms.
• Enhance operational efficiency by identifying areas for improvement, developing streamlined workflows, and maintaining compliance with regulations.
• Provide outstanding customer service through clear communication, understanding client requirements, and building strong client relationships.

Qualifications:

• Bachelor's degree in any field is a MUST.
• At least 2 years of experience in insurance, claims processing, or a related field
• Excellent email communication skills (required)
• Leadership experience is an advantage but not required.

Job Types: Full-time, Permanent

Pay: Php31, Php37,500.00 per month

Benefits:

• Health insurance
• Life insurance
• Paid training

Ability to commute/relocate:

• Ortigas: Reliably commute or planning to relocate before starting work (Preferred)

Application Question(s):

• What is your previous/current salary package?
• What is your expected salary package?

Education:

• Bachelor's (Required)

Experience:

• US Claims Insurance: 2 years (Preferred)

Work Location: In person

Apply now and join our company

We currently hiring for a Customer Service Representative for Healthcare Account

2-step hiring process only: ASSESSMENT and FINAL Interview

Qualifications:

• Must have 1-year solid work experience handling an international healthcare pure voice account
• Must completed at least 2nd year level in college without any back subjects
• Knowledgeable on working for healthcare insurance (claims, benefits, eligibility)

Benefits:

• Competitive salary package max up to 33,000 per month
• 10% Night Differential
• HMO on DAY 1 w/ FREE QUALIFIED Dependent(s)
• Guaranteed 13th month pay & 14th month pay
• Free Retirement Plan /Life Insurance
• Annual Performance Bonus
• Paid holidays and leave credits

Perks:

• Guaranteed HYBRID SET UP (2-3x times per week RTO)
• FIXED NIGHT SHIFT and WEEKENDS OFF
• 100 % virtual processing
• TOOLS PROVIDED by the company

Hurry up and apply now

At Unity Communications, we believe patient care continues beyond the clinic it extends to every billing conversation. That's why we're looking for
Healthcare Representatives
who can deliver empathy, professionalism, and clarity when assisting patients with their medical accounts.

In this role, you'll keep sensitive documents in line, navigate phone calls, and collaborate seamlessly with coworkers. The catch? You have to keep everything confidential. But that shouldn't be a problem for the trusted bestie that you are.

Want to start getting paid to do what you're naturally good at? Let's make it official. Apply now

How You Spend Your Eight Hours

• Handle a high volume of inbound and outbound patient calls, maintaining an average hold time, call handle time, and after-call work time within set standards.
• Communicate with patients in a clear, timely, and positive manner while verifying and updating demographics on every call.
• Maintain accurate documentation, account notes, databases, and confidentiality (HIPAA, PHI, HITEC) at all times.
• Manage assigned work queues, bankruptcy, workforce, estate, skip tracing, dismissal accounts, and legal/administrative correspondence.
• Assist with preparing legal suits, court forms, Medicaid applications, and other documents, including scanning, filing, and e-filing as needed.
• Provide technical assistance with agency issues, services, and programs.
• Collaborate with departmental associates, supervisors, and hospital staff to support seamless processes and client success.
• Respond to patient inquiries, escalating complaints to management when necessary.
• Participate in training new staff and support departmental process improvements.
• Review, update, and maintain policies and procedures as required.
• Meet and maintain performance metrics such as quality scores, pause time, update percentages, and call reviews.
• Uphold the organizations mission, vision, core values, and compliance with all local, state, and federal regulations.
• Perform additional duties as assigned by management.

What You Must Possess

• High school diploma or equivalent (college coursework or related training preferred).
• Computer proficiency, including Microsoft Office, Windows-based systems, EMRs, and the ability to quickly learn multiple platforms.
• Strong verbal and written communication skills with professional telephone etiquette.
• Excellent interpersonal skills, organizational skills, attention to detail, and time management.
• Ability to multitask effectively (phone, database, documentation) with accuracy and efficiency.
• Critical thinking, problem-solving, and decision-making skills.
• Flexibility, adaptability, and ability to thrive in a fast-paced, changing environment.
• Professional attitude and composure in urgent or confrontational situations.
• Ability to work independently and collaboratively as part of a team.
• Familiarity with HIPAA, FDCPA, and Red Flag regulations (knowledge of Medicaid, Federal Marketplace, or Epic software is a plus).
• At least 2 months to 1 year of experience in patient advocacy, customer service, collections, or related fields preferred.

What You Shall Receive

• HMO coverage starts upon regularization. First dependent after 1 year, second after 2 years. Additional dependents can be added anytime at employees expense.VL/SL credits upon regularization
• Friendly and supportive work culture
• 13th-month pay and other Philippine-government-mandated benefits
• Non-taxable allowances
• Pay increases, performance bonuses, birthday gifts, and many more

What You Should Consider

• Full-time position
• Monday to Friday, night shift
• On-site work setup

Why Join Our Company
You look for a company whose senior management listens to what you are and aren't saying and whose managers and team leads you can genuinely connect with. According to Glassdoor, 99% of the current and previous employees recommend Unity Communications to their friends, and 100% approve of its executive management. Our company is a Certified Great Place To Work that values inclusion and diversity and spreads kindness and positivity.

ISTA Solutions, an outsourcing/offshoring company, is in search of an experienced
Medical Billing Specialist
to join our rapidly expanding team. As a member of our team, you will have the opportunity to work with highly skilled professionals, who prioritize employee satisfaction and work-life balance. At ISTA Solutions, we pride ourselves on creating a culture focused on long-term success and life-long learning. We're looking for a team player who is ready to contribute to our mission, just like you
Account Specific Roles And Responsibilities

• Perform eligibility and benefits verification for treatments, hospitalizations, and procedures
• Reviewing patient bills for accuracy and completeness and obtaining any missing information
• Following up on unpaid claims within the standard billing cycle timeframe
• Calling insurance companies regarding any discrepancy in payments if necessary
• Identifying and billing secondary or tertiary insurances

Job Description:

• Provides customer support through different communication channels (Phone, email, chat).
• Resolve issues & accommodate customer inquiries to ensure satisfaction with products or services.
• Collaborate with colleagues and different departments to resolve complex issues
• Maintain accurate records on customer interactions, transaction, feedback, etc.

Requirements

• At least 6 months BPO experience handling US Healthcare Insurance
• Experience with claims, denials, appeals
• Strong problem-solving skills
• Adaptability to a changing work environment
• Ability to remain calm under pressure
• Good verbal and written English skills
• Willing to work onsite in Makati
• Amenable working night shifts

Benefits
What can we offer you?

• Competitive salary and benefits
• Health Insurance with free dependents*
• 10%-night differential
• Attendance Bonus
• Paid time off
• Convertible to cash leave credits
• Performance Appraisal
• Work-life balance
• A focus on growing your career path with us
• We encourage you to follow your passions and learn new skills

Our commitment to you

• Strong culture and values-driven leadership
• We create opportunities for you to learn and grow at any stage of your career
• Continuous learning and innovation
• We foster an all inclusive environment where everyone thrives