Job description
Cardinal Health is hiring a dedicated Insurance Verification Specialist in Taguig City to join our global healthcare team. This role is ideal for customer service professionals who are detail oriented, empathetic, and committed to accuracy in processing insurance eligibility and benefits. You will play a critical part in ensuring patients receive timely, correct coverage information and that payer requirements are met with precision.
As an Insurance Verification Specialist, you will collaborate with patients, providers, and internal teams to verify coverage, establish benefits, determine copays and deductibles, and secure necessary authorizations. You will work within Cardinal Health's trusted healthcare framework, following HIPAA guidelines and data security standards while delivering high quality service in a fast paced environment.
We value proactive problem solvers who can navigate payer portals, enter data accurately, and communicate clearly to resolve issues efficiently. If you are motivated by helping people access essential medications and care, this is an excellent opportunity to grow your career with a global healthcare leader.
Join our dedicated Philippines contact center team, known for customer first training, career progression opportunities, and supportive leadership. Cardinal Health offers competitive compensation, comprehensive benefits, and a stable work environment designed to help you thrive in a global healthcare organization.
Responsibility
- Verify patient insurance coverage and eligibility in real-time through payer portals and internal systems.
- Validate benefits, pre-authorizations, copays, coinsurance, and deductible details to ensure accurate patient billing.
- Enter and update verification results in the electronic health record EHR or CRM with high accuracy.
- Communicate clearly with physicians, providers, patients, and internal teams to resolve coverage issues and obtain required documentation.
- Process pre-authorization requests and referrals according to payer guidelines and internal policies.
- Track and follow up on pending verifications to ensure timely information for clinical and billing teams.
- Maintain compliance with HIPAA and Cardinal Health data security standards; document decisions and actions.
- Identify and escalate complex cases to the appropriate teams and contribute to ongoing process improvement.
Qualification
- 1+ year of experience in insurance verification or a healthcare or customer service role.
- High school diploma or equivalent; associate degree or higher preferred.
- Excellent attention to detail and a high level of accuracy in data entry.
- Strong verbal and written communication skills in English; Filipino language proficiency is a plus.
- Proficiency with EMR EHR systems and payer portals; familiarity with benefits terminology.
- Ability to work in a fast paced environment, manage multiple tasks, and meet quality and productivity targets.
- Knowledge of HIPAA data privacy and information security best practices.
- Team player with a customer service mindset and problem solving orientation.