Advancing Vision Care with Precision and Excellence
Our client is a respected U.S.-based medical practice specializing in advanced ophthalmology and surgical eye care services. With a strong commitment to clinical excellence, patient-centered care, and operational efficiency, they support seamless coordination between providers, surgical centers, and revenue teams.
Joining their organization means contributing to high-quality patient outcomes while supporting a healthcare system built on precision, compliance, and compassionate service.
Job Description
In the Medical Practice industry, timely care depends on financial precision.
As a Patient Access Financial Specialist, you will oversee insurance verification, prior authorizations, pre-certifications, financial counseling, and pre-payment collection to ensure timely surgical and clinical services. You will ensure insurance clearance, authorizations, and financial counseling are handled accurately-protecting both patient access and organizational revenue. Build a long-term global career with Emapta in a high-impact healthcare environment.
Job Overview
Employment type: Full time
Shift: Night Shift PH Time: 10:00 PM - 07:00 AM, Consecutive Off
Work setup: Onsite Makati
Exciting Perks Await!
- Day 1 HMO coverage with free dependent
- Competitive Salary Package
- Night differential pay to maximize your earnings
- Prime office location in Makati (Easy access to MRT stations, restaurants, and banks)
- Salary Advance Program through our banking partner (Eligibility and approval subject to bank assessment. Available to account holders with minimum of 6 months company tenure.)
- Unlimited upskilling through Emapta Academy courses (Want to know more Visit: https://emapta.com/training-calendar/)
- Free 24/7 access to our office gyms (Ortigas and Makati)
- Exclusive Emapta Lifestyle perks (hotel and restaurant discounts, and more!)
- Unlimited opportunities for employee referral incentives across the organization
- Standard government and Emapta benefits
- Total of 20 annual leaves to be used on your own discretion (including 5 credits convertible to cash)
- Fun engagement activities for employees
- Mentorship and exposure to global leaders and teams
- Career growth opportunities
- Diverse and supportive work environment
The Qualifications We Seek
- Medical experience is a must
- High school diploma or equivalent required; associate degree preferred
- 2-3 years of experience in Patient Access,insurance verification, authorizations, or revenue cycle operations
- Knowledge of Medicare, Medicare Advantage, and commercial insurance plans
- Experience with prior authorization and precertification workflows
- Proficiency with EHR or practice management systems (ModMed preferred)
- Strong organizational, communication, and analytical skills
Your Daily Tasks
- Manage and monitor assigned surgical cases and workflow tasks, ensuring timely completion of insurance verification, precertification, and authorization activities
- Verify insurance eligibility, benefits, and coverage limitations through payer portals and direct payer contact; document findings accurately in ModMed
- Review payer medical necessity guidelines and reimbursement policies to determine authorization requirements
- Obtain and track prior authorizations and precertifications to prevent denials or cancellations
- Enter and maintain authorization numbers, approval dates, and supporting documentation in ModMed
- Confirm completeness of clinical documentation and authorization approvals prior to scheduled procedures
- Serve as liaison between providers, surgery coordinators, ASCs, and external facilities
- Prepare and communicate patient financial estimates including procedure codes and out-of-pocket responsibility
- Provide pre-operative financial counseling on insurance benefits, deductibles, and payment expectations
- Assist patients with financial assistance options when applicable
- Collect required pre-payments for clinic and ASC services
- Post, reconcile, and balance patient payments in ModMed; generate daily transaction reports
- Coordinate with Patient Accounts and Billing teams to resolve past-due balances
- Notify patients of outstanding balances and pre-payment requirements
- Process credit card and electronic check payments using approved platforms
- Identify and resolve coding discrepancies prior to authorization submission
- Maintain communication with Patient Access, scheduling, and clinical teams
- Provide cross-coverage and team support as needed
- Perform other duties as assigned to support revenue cycle operations
Welcome to Emapta Philippines!
Join a team that values camaraderie, excellence, and growth. Recognized as one of HR Asia's Best Companies to Work For in Asia 2025, Emapta stands proudly alongside industry giants, offering stability and exciting career opportunities. Your career flourishes here with competitive compensation, international clients, and a work culture focused on collaboration and innovation. Work with global clients across industries, supported by a stable foundation and like-minded professionals passionate about making an impact. We empower your success with opportunities for personal and professional development in an inclusive environment. Apply now and be part of the #EmaptaEra!
