Insurance Verification, Scheduling

Staffing For Doctors

. Conduct real-time insurance eligibility and Verification of Benefits checks for new and existing patients .

Posted 11/5/2026full-timeRemote • PhilippinesJuniorMid-LevelWebsite

Core Competencies

Role fit

Core Competencies

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Demonstrates expertise in conducting Verification of Benefits and interpreting Explanations of Benefits while maintaining HIPAA compliance. Proficient in managing high-volume patient communications and coordinating appointments in a medical office setting.

Highest-signal resume keywords

Verification Of Benefits (VOB)Explanations Of Benefits (EOBs)Medical Practice Management SoftwareHIPAA ComplianceInbound/Outbound Phone Call Handling

ATS Keywords

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Applicant Tracking System Keywords

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Hard Skills

Insurance Eligibility VerificationClaim Adjudication InvestigationAppointment CoordinationData Entry Into EMRUnderstanding Of Copays And DeductiblesPrior Authorization RequirementsAudit Payor PaymentsPatient Demographics UpdateOut-Of-Pocket Cost ExplanationReferral Intake Coordination

Soft Skills

Exceptional Verbal CommunicationWritten CommunicationAttention To DetailProblem-SolvingCustomer Service

Tools & Technologies

EMR SystemsClearinghouse PortalsVoIP Phone SystemsHigh-Performance PC/MacNoise-Canceling Headset

Industry Keywords

HIPAA Data SecurityIn-Network CoverageOut-Of-Network CoverageMedicarePatient Responsibility

Tech Stack

Tools & technologies

VoIP

About the role

Key responsibilities & impact

Conduct real-time insurance eligibility and Verification of Benefits checks for new and existing patients
Contact commercial and government insurance carriers to verify coverage, benefits, network status, deductibles, copays, and pre-authorization requirements
Enter structured coverage data into the EMR
Review EOBs, identify claim adjudication issues, and investigate unpaid or incorrectly processed claims
Audit payor payments, patient responsibility, and adjustment codes
Follow up with payor representatives on denied or stalled claims
Handle high-volume inbound and outbound patient phone calls
Book, reschedule, and confirm appointments
Update patient demographics and insurance information in the EMR
Explain out-of-pocket costs to patients before service
Coordinate appointment schedules and referral intakes
Follow up on voicemails and emails
Provide front-office administrative support while protecting HIPAA data

Requirements

What you’ll need

Exceptional verbal and written English communication; clear, natural, and accent-neutral spoken English required for phone calls with U.S. patients and insurance representatives
Proven experience executing Verification of Benefits (VOB) and interpreting Explanations of Benefits (EOBs)
Demonstrated fluency distinguishing In-Network vs. Out-of-Network coverage, Medicare, copays, deductibles, maximum out-of-pocket limits, and prior authorizations
2+ years of experience handling inbound/outbound phone calls and appointment coordination in a U.S. medical office or virtual assistant environment
Full availability to work 40 hours per week Monday through Friday, 8:00 AM–5:00 PM PST
Hands-on experience navigating medical practice management software, clearinghouse portals, and VoIP phone systems
Dedicated, private home office with a lockable door
High-speed primary internet and backup internet/power solutions
High-performance PC/Mac and noise-canceling headset
Ability to maintain strict HIPAA data security standards