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Verrific

Insurance Verification Specialist

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  • Posted 3 months ago

Job Description

Role: Dental Insurance Verification Agent

Location: Remote (Preferably within Greater Manila Area: Metro Manila, Bulacan, Rizal, Cavite, Laguna)

Employment Type: Full-time / Part-time (Contractual)

Industry: Dental / Healthcare Support Services

Time Zone Requirement: Must be available to work night shifts (CST/EST hours)

About the Role

Were looking for a reliable, detail-oriented, and highly independent Dental Insurance Verification Agent to work exclusively with our U.S.-based partner dental clinics. This is a fully remote role where accuracy, accountability, and confidentiality are key. You will be responsible for completing insurance verifications at least 2 days before the patients scheduled appointment and ensuring all relevant information is recorded and reported appropriately.

Key Responsibilities

Insurance Verification

  • Verify patient insurance eligibility and benefits using VeriSmart or other assigned platforms.
  • Conduct outbound calls, send fax requests, and access insurance portals to gather full and accurate benefit information.
  • Identify coverage specifics, including frequencies, limitations, co-pays, deductibles, waiting periods, and downgrades.
  • Record patient dental history where applicable.

Operational Excellence

  • Complete verifications at least 48 hours prior to appointments.
  • Submit detailed End-of-Day (EOD) Reports.
  • Escalate urgent issues promptly for resolution.
  • Follow all Verrific Standard Operating Procedures (SOPs).

Compliance & Data Security

  • Handle all patient data in strict compliance with HIPAA regulations.
  • Use only authorized Remote Desktop Protocols for system access.
  • Safeguard all EOBs and sensitive documents appropriately.

Team Collaboration & Training

  • Attend mandatory training sessions and periodic performance evaluations.
  • Communicate clearly and promptly with assigned clinics and the Verrific operations team.

Who Will Be a Good Fit

Were looking for candidates who are:

  • Experienced in BPO, healthcare, or customer service roles.
  • With dental insurance verification experience (preferred).
  • Independent, reliable, and self-motivated to work in a remote night shift setup.
  • Proficient in Open Dental, Eaglesoft, Dentrix, or similar platforms.
  • Familiar with HIPAA compliance, EOD reporting, and remote desktop protocols.
  • Quick learners, highly trainable, and open to coaching and feedback.
  • Healthy and physically fit to manage night shifts and focus-driven work.
  • Located within the Greater Manila Area (Metro Manila, Bulacan, Rizal, Cavite, Laguna) for smoother logistics if needed.

Technical Requirements

  • Dual monitor setup
  • Laptop/desktop (Intel Core i5 or higher, minimum 8GB RAM, up-to-date OS)
  • Reliable high-speed internet (minimum 25 Mbps, no broadband dongles)
  • Backup internet (e.g., mobile hotspot or second line)
  • Headset and webcam
  • Smartphone
  • Numeric keypad keyboard
  • Quiet, dedicated workspace

Why Join Us

  • 100% Remote Work
  • Fixed U.S. schedule (night shift)
  • Supportive and fast-growing global operations team
  • Clear growth paths and ongoing skill development
  • Performance-based incentives

More Info

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About Company

Job ID: 124371629