Patient Eligibility Registration Specialist

Job not on LinkedIn

🔥 0 minutes ago

🇵🇭 Philippines – Remote

⏰ Full Time

🟢 Junior

🟡 Mid-level

🚫👨‍🎓 No degree required

👻 Ghost score 10%

What it means: how likely this posting is sitting open without active hiring.How to read it: 60% or higher means we think this is a ghost. Lower scores are less of a worry.How we score it: age, reposts, open roles vs team size, how fast jobs close, and whether pay is listed.Fine print: an estimate from public data, not a judgment of the company. Real jobs can score high, so treat it as a hint, not a fact.

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Sourcefit

WebsiteLinkedInAll Job Openings

1001 - 5000 employees

📣 Marketing

📦 Logistics

🏥 Healthcare

Marketing • Logistics • Healthcare

Sourcefit is a leading business process outsourcing company with headquarters in the Philippines and offices in the Dominican Republic, Armenia, Madagascar, and South Africa. Founded in 2009, Sourcefit specializes in providing custom offshore and nearshore staffing solutions across various industries including IT, Finance, Healthcare, Retail, and more. They focus on offering efficient and cost-effective BPO services such as telesales, customer support, content moderation, IT support, web development, and more. Sourcefit is committed to building long-term value for organizations through customized, efficient, and integrated offshore staffing solutions.

📋 Description

• Gain and maintain a thorough understanding of patient insurance eligibility and benefits across a wide range of payers, including Aetna, Cigna, BCBS, Humana, Workers’ Comp, Medicare, and Medicaid • Verify patient insurance coverage and benefits by contacting insurance companies and reviewing online payer portals • Confirm deductibles, copays, coinsurance amounts, and out-of-pocket maximums • Generate and communicate “Estimate of Patient Financial Responsibility” forms to patients • Secure necessary approvals from insurance carriers before specific procedures or treatments • Identify and resolve discrepancies, coverage issues, and insurance-related errors by coordinating with insurance providers and internal teams • Maintain accurate records of verification activities, communications, and documentation • Prepare and update patient files and related documentation in compliance with HIPAA regulations, payer policies, and company standards • Build knowledge of insurance plans, medical terminology, billing procedures, government regulations, and medical codes • Collaborate with internal teams to resolve discrepancies and ensure data accuracy • Perform other duties and special projects as assigned

🎯 Requirements

• A minimum of 2-3 years of healthcare industry experience in intake/verification roles • Previous experience in Orthopedic, Spine Surgery, and Pain Management Specialty a plus • Understanding of different types of insurance coverages and claims, including Health, Workers' Comp, and Auto • Familiarity with Revenue Cycle Management (RCM) systems, Practice Management Systems (PMS), and tools • Strong analytical, critical thinking, and problem-solving skills • Effective written and verbal communication skills • Ability to work independently while collaborating effectively with cross-functional teams

🏖️ Benefits

• Work from home • Monday to Friday schedule • Following US Holidays