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Sourcefit
Sourcefit

Patient Eligibility Registration Specialist

Eastwood Quezon City, Philippines
2-3 years exp
Full-time
Posted 3d ago
0 views
Actively Hiring Urgent Opening Direct 1-Click Apply

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Job Description

  • Summary:

We are looking for a detail-oriented

Patient Eligibility Registration Specialist

to support the patient registration process by verifying insurance coverage, ensuring authorizations are in place, and maintaining accurate documentation to facilitate timely patient care.

  • Job Details:

Patient Eligibility Registration Specialist

  • Work from home

  • Monday to Friday | 8:00 PM to 5:00 AM (Manila) 

  • *Following US Holidays

  • Responsibilities:
  • Gain and maintain a thorough understanding of patient insurance eligibility and benefits across a wide range of payers, including but not limited to: Aetna, Cigna, BCBS, Humana, Workers’ Comp, Medicare, and Medicaid.

  • Verify patient insurance coverage and benefits by contacting insurance companies and reviewing payer portals.

  • Confirm deductibles, copays, and coinsurance amounts, and out‑of‑pocket maximums.

  • Generate and communicate “Estimate of Patient Financial Responsibility” forms to patients in a clear and timely manner.

  • Secure necessary approvals from insurance carriers before specific procedures or treatments are performed.

  • Identify and resolve discrepancies, coverage issues, and insurance-related errors by coordinating with insurance providers and internal teams.

  • Maintain well‑organized, accurate records of all verification activities, communications, and documentation.

  • Prepare and update individual patient files and related documentation while ensuring compliance with HIPAA regulations, payer policies, and company standards.

  • Continuously build a broad 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.

  • Qualifications:
  • 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.

Key Requirements & Skills

  • 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 & Perks

medical terminology, billing procedures, government regulations, and medical codes.

Frequently Asked Questions

How to apply for Patient Eligibility Registration Specialist at Sourcefit?

Click the "Apply on Company Website" button on this page to submit your application directly on the employer's official portal.

What is the salary for this role?

Salary details will be discussed during the interview.

What experience is required?

2-3 years of experience is required.

Is this position still open?

Yes, currently active and accepting applications.

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Sourcefit

Sourcefit

About Sourcefit Global BPO and offshore outsourcing company Our vision Lower costs Our management Transparency Our facilities Compliance & security Sourcefit is a business process outsourcing company with offices in the Philippines, South Africa, Dominican Republic, Madagascar, United Kingdom, and Armenia. We provide custom offshore and nearshore staffing solutions that build lasting value for our clients. Get top staff Begin risk-free Build lasting value START BUILDING PROCESS EQUITY TODAY! Contact Us Locations Armenia Dominican Republic Madagascar South Africa Philippines SPEAK WITH A CONSUL

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Patient Eligibility Registration Specialist

Sourcefit · Eastwood Quezon City

Apply on Company Website