# Insurance Verification Specialist (Prior Authorizations) > Winning Assistants Β· Philippines (Remote) Β· Full-time Β· Posted 2026-06-29 **Salary:** USD 10,400–12,480 **Workplace:** remote ## Description **πŸ“ Job Type:** Full-Time (40 hours/week) πŸ’² **Salary:** $5.00–$6.00 USD per hour (depending on experience) πŸ—“ **Schedule:** Monday to Friday πŸ•˜ **Working Hours:** 9:00 AM – 6:00 PM Pacific Time (PT) ### About the Role We are seeking an experienced **Insurance Verification Specialist** with a strong background in insurance eligibility verification, prior authorizations, and front office support. This role is ideal for someone who thrives in a fast-paced medical environment, enjoys working with insurance processes, and delivers exceptional patient service over the phone. The ideal candidate has hands-on experience navigating U.S. insurance portals, verifying patient benefits, obtaining prior authorizations, and supporting front office operations while maintaining the highest level of professionalism and HIPAA compliance. ### Key Responsibilities ### Insurance Eligibility & Benefits Verification - Verify patient insurance eligibility and benefits before scheduled appointments. - Review deductibles, copays, coinsurance, and patient financial responsibility. - Ensure insurance information is accurate and updated within the EHR/EMR. - Document all eligibility verification activities accurately and thoroughly. ### Prior Authorizations - Submit and obtain prior authorizations through insurance portals and payer websites. - Monitor pending authorization requests and follow up with insurance companies as needed. - Communicate authorization updates promptly to providers and clinic staff. - Maintain accurate records of authorization status and supporting documentation. ### Patient Chart Management - Create new patient charts and update existing medical records. - Ensure patient demographics and insurance information remain complete and accurate. - Maintain organized documentation within the electronic medical record system. ### Front Office & Patient Support - Answer overflow inbound phone calls when the in-office team is unavailable. - Assist patients with general inquiries in a courteous, professional, and empathetic manner. - Route calls appropriately and ensure timely message delivery. - Support the front office with insurance-related administrative tasks. - Maintain strict HIPAA compliance and protect patient confidentiality at all times. ## Requirements ### Required Qualifications - Minimum 2 years of experience working in a U.S. healthcare setting. - Hands-on experience with insurance eligibility verification and prior authorization processing. - Strong understanding of: - Commercial insurance plans - Deductibles - Copays - Coinsurance - Authorization requirements - Experience using insurance portals and payer websites. - Experience working with EHR/EMR systems (EasyDerm experience is a plus). - Previous experience handling inbound patient phone calls in a medical office. - Excellent English verbal and written communication skills with a professional phone presence. ### Preferred Qualifications - Experience working in a dermatology or other specialty medical practice. - Previous experience as a remote Healthcare Virtual Assistant. - Spanish-speaking ability is an advantage but not required. ### Desired Skills - Exceptional attention to detail and accuracy. - Strong organizational and time management skills. - Ability to work independently with minimal supervision. - Excellent problem-solving and critical-thinking abilities. - Comfortable managing multiple insurance requests, authorizations, and patient calls simultaneously. - Ability to thrive in a fast-paced, patient-centered healthcare environment. - Strong customer service and interpersonal communication skills. ### Ideal Personality We're looking for someone who is: - Detail-oriented and highly organized. - Reliable, dependable, and accountable. - Proactive with a strong sense of ownership. - Professional, courteous, and patient-focused. - Calm under pressure and able to prioritize effectively. - Friendly, empathetic, and confident when speaking with patients. - Committed to accuracy, efficiency, and delivering high-quality work. **Basic Requirements** - Must be proficient in speaking and writing English very clearly - Must have relevant work experience - Be able to submit an NBI clearance and/or Local Police Clearance background check before onboarding \[mandatory\] - Must be available for video meetings with your camera on (when needed) ### Technical Requirements - **Device:** Reliable laptop or desktop computer. - **Internet:** High-speed connection (minimum 25 Mbps). - **Audio:** Noise-canceling headset. - **Video:** Webcam for virtual meetings. - **Workspace:** Quiet, professional environment. ## Benefits - **Dedicated HR & Contractor Support Team:** Access to world-class support for questions, guidance, contract matters, and client communication. - **Premium VPN Access (Optional):** A secure VPN license can be provided upon request to enhance privacy and security for client-related tasks. - **HIPAA & Cybersecurity Training + Certification (Provided):** Access to our internal HIPAA compliance training, cybersecurity modules, and certification to help you confidently handle PHI for U.S. healthcare clients. - **Top 1% VA Performance Training:** Access to our proprietary training on communication, client management, productivity systems, and best practices to help you become a top-performing VA and increase long-term client retention. - **Client-Approved U.S. Holidays:** Contractors may take U.S. holidays off according to the client’s needs and schedule. - **Client-Approved Paid or Unpaid Time Off:** Time off may be granted by your client. Paid time off is optional and only if offered by the client. - **Access to Tools & Resources:** Templates, workflow guides, productivity tools, and client-specific SOP support to help you perform at your best. - **Optional Performance-Based Incentives:** Some clients may offer bonuses, incentives, or increased hours based on your performance. These are optional resources and client-approved allowances available to you as an independent contractor. Any resources, training, or allowances listed are optional contractor perks and not employee benefits. ## Apply [Apply at Winning Assistants](https://apply.workable.com/winning-assistants/j/6231A56D94/apply) --- Powered by [Workable](https://www.workable.com)