Job Openings Spanish Bilingual Insurance Verification Specialist

About the job Spanish Bilingual Insurance Verification Specialist

Position Title: Spanish Bilingual Insurance Verification Specialist

Salary Grade: 

Reports To: Partner, Partner Advisor

Primary Relationships: Partner Team

Date: August 2023

Schedule: 9:00 PM to 6:00 AM PH Time


  • Verify insurance information and accurately organize documentation.

  • Obtain prior certifications and referrals, emphasizing the inclusion of ultrasounds for new patients

  • Document copays, deductibles, out-of-pocket expenditures, and virtual benefits in comprehensive notes

  • Assess eligibility for prepayment plans, schedule payments, and manage existing payment plans

  • Proactively offer one-time payment discounts for balances below $500

  • Ensure insurance policies are active and up-to-date

  • Secure prior authorizations when required, tracking associated physicians and ensuring comprehensive visits

  • Maintain records of authorization effective periods to prevent lapses

  • Ensure accuracy of policy status, including effective and termination dates.

  • Coordinate benefits efficiently

  • Demonstrate proficiency in distinguishing between types of insurance plans (MCR, HMO, PPO, etc.)

  • Manage considerations for in-network and out-of-network services (e.g., clinic restrictions, dialysis)

  • Thorough understanding of payable benefits, including copays, deductibles, coinsurances, and out-of-pocket limits

  • Familiarity with referral, precertification, and authorization requirements


  • Fluent in both English and Spanish (Bilingual proficiency)

  • Minimum of 3-5 years of experience in insurance verification

  • Proficiency in using Epic software

  • Excellent verbal and written communication skills

  • Strong attention to detail and accuracy

  • Thorough knowledge of Medicare replacement plans and their operational dynamics

  • Experience dealing with private insurances and managed care systems

  • Computer literacy with the ability to navigate software systems effectively

  • Minimum typing speed of 50 words per minute

  • Sound understanding of medical billing processes and terminology

  • Familiarity with telemedicine concepts

  • Ability to quickly adapt to new processes and technologies

COmpany Benefits:

  • SSS, Philhealth, Pag-Ibig

  • 13th Month Pay

  • HMO and Life Insurance (AVEGA)

  • Free Shuttle Service

  • CO League - Monthly Company Activities

  • CO Clubs

  • CO Amenities Swimming Pool, Clinic and Kids zone

  • CO Stars - Corporate Social Responsibility Involvement Scholarship Programs

  • CO Academy - Training and Development Programs

  • COolture Coach

  • CO Gears

  • Cool and Flexible Workplace

  • Other Performance and Attendance Based Rewards

  • Bereavement Leave

  • Paternity Leave

  • 7 days SOLO Parent Leave

  • Magna Carta Leave

  • Company Bank Loan