137 Insurance Verification jobs in the Philippines

#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 in 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

• 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)

1. Processor:

2. Windows Devices: Intel Core i5 (or higher) or AMD Ryzen 5 (or higher).

3. Mac Devices: Apple M1 chip or newer.

4. RAM:

5. Minimum of 8GB or higher for optimal performance.

6. Operating System:

7. Windows: Windows 11 Pro (Windows 10 Pro is acceptable but not preferred). The operating system must have a legitimate license.

8. Mac: macOS compatible with M1 or newer chips.

9. Hard Disk:

10. At least an SSD for faster processing and performance.

11. Internet Connectivity:

12. Minimum speed of 50 Mbps via a wired connection for stability and reliability.

13. 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)

• 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.

#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 in 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

• 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)

1. Processor:

2. Windows Devices: Intel Core i5 (or higher) or AMD Ryzen 5 (or higher).

3. Mac Devices: Apple M1 chip or newer.

4. RAM:

5. Minimum of 8GB or higher for optimal performance.

6. Operating System:

7. Windows: Windows 11 Pro (Windows 10 Pro is acceptable but not preferred). The operating system must have a legitimate license.

8. Mac: macOS compatible with M1 or newer chips.

9. Hard Disk:

10. At least an SSD for faster processing and performance.

11. Internet Connectivity:

12. Minimum speed of 50 Mbps via a wired connection for stability and reliability.

13. 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)

• 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.

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.

Key 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 in 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.

• 2+ years of experience in Insurance Verification.

• Experience in Endocrinology.

• 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.
• Multilingual candidate who speak Arabic and/or Spanish are highly desirable but not preferred.

• Permanent Work From Home
• Weekly Paychecks
• Fixed Weekends Off
• HMO Reimbursement on your 90th day
• Thriving Company Culture with Complete Autonomy
• Exclusive Specialized Training Programs
• Unlock Your Potential with a Highly Competitive Salary

___

Who are we?

MedCore Solutions is the healthcare division of BizForce, dedicated to supporting U.S.-based healthcare clients through a skilled remote workforce in the Philippines. We specialize in connecting top clinical and administrative talent with reputable healthcare organizations, ensuring high-quality care delivery while providing rewarding work-from-home careers.

Why work for Bizforce?

Bizforce is a global remote workforce solutions company currently partnering with some of the largest Architectural and Engineering firms in the world. If you are looking to advance your career and improve your skills with an industry leader, we encourage you to apply today Bizforce was founded with one goal – to deliver dependable high-quality skilled labor and business processes to US-based companies at affordable prices. Bizforce has grown rapidly and allows the best talent in PH to work remotely from home with the latest technology and resources. BizForce is proud to partner with PH to deliver qualified, professional workers, giving our Architects and Engineers the ability to have an unbeatable career and work from home.

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. We encourage you to apply once and ensure all information is complete and accurate.

About Us

RML-PH is a dynamic and innovative Health Solutions and Care Delivery Organization committed to transforming the healthcare landscape. With a mission to provide accessible, high-quality healthcare services and cutting-edge solutions, RML-PH focuses on holistic patient care and embraces the latest advancements in health technology. Our team is dedicated to providing top-tier customer care, leveraging expertise and technology to exceed expectations. Join us at RML-PH to be part of a dynamic team committed to delivering excellence in healthcare customer service.

Position

We are seeking a highly motivated and detail-oriented individual to join our team as an Insurance Verification & Data Specialist. In this role, you will be responsible for reviewing, validating, and verifying patient insurance information and resolving incomplete or inaccurate documentation to ensure accurate billing and reimbursement. Strong organizational skills and attention to detail are essential for success in this position.

Responsibilities:

• Validate patient insurance information, including coverage details and policy status.
• Cross-check information against data provided by healthcare facilities or insurance companies
• Identify and resolve discrepancies in insurance documentation and billing information.
• Gather missing information as required to complete medical claim forms
• Update patient information and resolve missing information across multiple systems
• Communicate with insurance companies, medical facilities, and internal departments to obtain missing or additional information
• Provide exceptional service to clients, sales representatives, and interdepartmental staff members through effective verbal and written communication
• Maintain confidentiality and adhere to HIPAA regulations
• Ensure the accuracy and integrity of insurance verification and billing processes
• Stay up-to-date with industry regulations and guidelines
• Additional responsibilities as required to meet business needs.

Qualifications:

• High school diploma or equivalent; additional certification or education in healthcare or a related field is preferred
• 2+ years of experience in insurance verification, medical billing, or a related field
• 2+ years of professional experience in customer service, specializing in handling inbound and outbound calls with efficiency and professionalism.
• Proficient in medical coding systems and terminology (CPT, ICD-10, HCPCS)
• Strong knowledge of insurance payer guidelines (Medicare, Medicaid, private insurance)
• Excellent analytical and problem-solving skills with attention to detail
• Proficient in using spreadsheets and data entry systems, including Microsoft Excel
• Strong organizational and time management skills
• Effective communication skills in English, both written and verbal
• Ability to work independently and collaborate with a team in a fast-paced environment
• Familiarity with HIPAA regulations and compliance requirements

How to Apply:

Interested candidates are encouraged to submit their resumes and a cover letter outlining their qualifications and how they would contribute to RML-PH's success via LinkedIn.

Additional Details:

• Ideal start date: ASAP
• Schedule: Tuesday to Saturday 12:00 AM to 9:00 AM (Philippine Time)
• Work Location: Remote (Quezon City, PH)
• Job Type: Full-time
• Salary: Php 30,000 to 35,000 per month

Benefits:

• Contributions to PhilHealth, SSS, and Pag-IBIG
• Paid leave: Sick, Paternity, Annual, and Public holidays
• Monetary compensation: 13th-month pay and overtime
• New hires begin as contractors for the first 3 months before being reviewed for direct employment

Requirements:

• All employees must undergo a background check, and continued employment is dependent on its outcome.
• English proficiency required
• Candidate must have a WFH Equipment

At RML-PH, we care for our team members and their well-being. We are an equal-opportunity employer and value diversity, striving to create an inclusive workplace for all. We encourage candidates of all backgrounds and experiences to apply.

Disclaimer:

All positions at RMLPH require a background check during the onboarding process. Continued employment is dependent on the outcome of the background check.

RML-PH does not partner with staffing agencies. Resumes submitted unsolicited by agencies will not be considered, and RML-PH assumes no responsibility for fees incurred.

Please view this job listing on LinkedIn for an up-to-date status. Other job sites may repost our listings but do not always remove them once filled.

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About the role

As a CSR Insurance Verification -

Job Description:

• Handle basic insurance verification tasks
• Assist patients with scheduling and confirming appointments
• Perform outbound calls for follow-ups

Qualifications:

• Minimum of 6 months BPO/Call Center experience handling inbound CSR tasks
• Healthcare account experience preferred, but not required
• Willing to work onsite in Shaw, Mandaluyong
• Flexible with a shifting schedule
• Can start ASAP (target start: October 3, 2025 )

What we offer

We are committed to providing our employees with a supportive and fulfilling work environment. In addition to a competitive salary, we offer a range of benefits including:

1. Comprehensive health insurance coverage
2. Opportunities for career development and advancement
3. Flexible work arrangements to support work-life balance
4. Collaborative and inclusive team culture
5. Opportunities to participate in social and team-building activities

About us

Agileassist Human Resource Management Services' is a leading provider of human resource management solutions. Our mission is to empower our clients to build and retain a high-performing workforce. We are committed to delivering exceptional customer service and supporting the growth and development of our employees.

If you are passionate about providing excellent customer service and are excited to join a dynamic and growing organization, we encourage you to apply now.

We are seeking a detail-oriented Insurance Verification Specialist with expertise in Neurology and Allergy practices. The role involves verifying patient insurance coverage, benefits, and eligibility to ensure smooth billing and claims processing. If you have strong experience with NextGen software and a solid background in healthcare insurance verification, this is an excellent opportunity to advance your career in a permanent work-from-home setup.

Key Responsibilities:

• Verify patient insurance eligibility, coverage, and benefits for Neurology and Allergy services.
• Accurately enter and update insurance information in NextGen EMR.
• Communicate with insurance companies to confirm benefits and resolve discrepancies.
• Work closely with providers, billing, and front-office staff to ensure claims accuracy.
• Assist in resolving prior authorization and referral requirements.
• Maintain compliance with HIPAA and payer-specific guidelines.

• Minimum 3 years of relevant experience in insurance verification.
• Background in Neurology and Allergy specialties preferred.
• Proficiency in NextGen software required.
• Strong understanding of healthcare insurance plans, coverage, and policies.
• Excellent attention to detail, organizational skills, and communication abilities.
• Ability to work independently in a fully remote environment.

Work-from-Home Device Requirement:

• Device: Personal computer with Intel Core i5 or higher, or AMD Ryzen 5 or higher
• Internet: Wired connection with at least 50 Mbps download speed, plus a backup connection (e.g., mobile hotspot or prepaid Wi-Fi)
• Work Environment: Quiet, well-lit space with minimal background noise

• Permanent Work From Home
• Weekly Paychecks
• Fixed Weekends Off
• HMO Reimbursement on your 90th day
• Thriving Company Culture with Complete Autonomy
• Exclusive Specialized Training Programs
• Unlock Your Potential with a Highly Competitive Salary

___

Who are we?

MedCore Solutions is the healthcare division of BizForce, dedicated to supporting U.S.-based healthcare clients through a skilled remote workforce in the Philippines. We specialize in connecting top clinical and administrative talent with reputable healthcare organizations, ensuring high-quality care delivery while providing rewarding work-from-home careers.

Why work for Bizforce?

Bizforce is a global remote workforce solutions company currently partnering with some of the largest Architectural and Engineering firms in the world. If you are looking to advance your career and improve your skills with an industry leader, we encourage you to apply today Bizforce was founded with one goal – to deliver dependable high-quality skilled labor and business processes to US-based companies at affordable prices. Bizforce has grown rapidly and allows the best talent in PH to work remotely from home with the latest technology and resources. BizForce is proud to partner with PH to deliver qualified, professional workers, giving our Architects and Engineers the ability to have an unbeatable career and work from home.

We are seeking a detail-oriented
Insurance Verification Specialist
with expertise in
Neurology and Allergy practices
. The role involves verifying patient insurance coverage, benefits, and eligibility to ensure smooth billing and claims processing. If you have strong experience with
NextGen software
and a solid background in healthcare insurance verification, this is an excellent opportunity to advance your career in a permanent work-from-home setup.

Key Responsibilities:

• Verify patient insurance eligibility, coverage, and benefits for Neurology and Allergy services.
• Accurately enter and update insurance information in NextGen EMR.
• Communicate with insurance companies to confirm benefits and resolve discrepancies.
• Work closely with providers, billing, and front-office staff to ensure claims accuracy.
• Assist in resolving prior authorization and referral requirements.
• Maintain compliance with HIPAA and payer-specific guidelines.

Requirements:

• Minimum 3 years of relevant experience in insurance verification.
• Background in Neurology and Allergy specialties preferred.
• Proficiency in NextGen software required.
• Strong understanding of healthcare insurance plans, coverage, and policies.
• Excellent attention to detail, organizational skills, and communication abilities.
• Ability to work independently in a fully remote environment.

Work-from-Home Device Requirement:

• Device:
  Personal computer with
  Intel Core i5 or higher
  , or
  AMD Ryzen 5 or higher
• Internet:
  Wired connection
  with at least
  50 Mbps
  download speed, plus a
  backup connection
  (e.g., mobile hotspot or prepaid Wi-Fi)
• Work Environment:
  Quiet, well-lit space
  with
  minimal background noise

Benefits:

• Permanent Work From Home
• Weekly Paychecks
• Fixed Weekends Off
• HMO Reimbursement on your 90th day
• Thriving Company Culture with Complete Autonomy
• Exclusive Specialized Training Programs
• Unlock Your Potential with a Highly Competitive Salary

___

Who are we?

MedCore Solutions is the healthcare division of BizForce, dedicated to supporting U.S.-based healthcare clients through a skilled remote workforce in the Philippines. We specialize in connecting top clinical and administrative talent with reputable healthcare organizations, ensuring high-quality care delivery while providing rewarding work-from-home careers.

Why work for Bizforce?

Bizforce is a global remote workforce solutions company currently partnering with some of the largest Architectural and Engineering firms in the world. If you are looking to advance your career and improve your skills with an industry leader, we encourage you to apply today Bizforce was founded with one goal – to deliver dependable high-quality skilled labor and business processes to US-based companies at affordable prices. Bizforce has grown rapidly and allows the best talent in PH to work remotely from home with the latest technology and resources. BizForce is proud to partner with PH to deliver qualified, professional workers, giving our Architects and Engineers the ability to have an unbeatable career and work from home.

Knowledge of health insurance, specifically Medicare Understand how reimbursement is coordinated if enrolled with Medicare and another carrier Verify patient insurance & confirm eligibility/benefits Strong attention to detail and accuracy Familiar with medical terminology, insurance processes & healthcare software

Job Type: Full-time

Pay: Php23, Php30,000.00 per month

Benefits:

• Opportunities for promotion
• Promotion to permanent employee
• Work from home

Application Question(s):

• Do you have experience working with Medicare insurance verification?
• Are you familiar with how reimbursement is coordinated when a patient is enrolled in both Medicare and another carrier?
• How many years of experience do you have in insurance verification or healthcare billing?
• Are you familiar with medical terminology and insurance processes?
• Have you used any healthcare software or databases for insurance verification?
• This is a remote role requiring a quite and professional work environment. Do you have the setup to meet this requirement?

Work Location: Remote

Insurance verification specialist

Access Healthcare is looking for Insurance Verification Specialistto be part of our growing team

Responsibilities

• Verify patient insurance coverage and benefits through various methods, including online portals, phone calls, and electronic verification systems.
• Confirm patient demographics and insurance information accurately in the electronic medical records system.
• Communicate with patients, insurance companies, and healthcare providers to obtain necessary authorizations for medical services.
• Educate patients on their insurance coverage, including copays, deductibles, and out-of-pocket expenses.
• Collaborate with billing and coding departments to ensure accurate billing and reimbursement.
• Stay updated on changes in insurance regulations, policies, and procedures to ensure compliance.
• Document all insurance verification activities accurately and maintain organized records.
• Assist patients in resolving insurance-related issues or concerns effectively and professionally.
• Participate in training sessions and team meetings to enhance knowledge and skills related to insurance verification processes.
• Provide exceptional customer service to patients, insurance representatives, and internal stakeholders.

Qualification:

• Proven experience in insurance verification, preferably in a healthcare setting.
• Strong understanding of medical terminology, insurance terminology, and billing processes.
• Proficiency in using electronic medical records (EMR) systems and insurance verification software.
• Excellent communication skills, both verbal and written, with the ability to effectively communicate with diverse stakeholders.
• Exceptional attention to detail and accuracy in data entry and documentation.
• Must be fluent in English Language
• Must be amenable to work onsite at McKinley,Taguig

Job Type: Full-time

Pay: Php23, Php28,000.00 per month

Benefits:

• Health insurance
• Opportunities for promotion
• Promotion to permanent employee
• Transportation service provided