Insurance Verification Specialist

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BizForce

πŸ“Remote - Philippines

Summary

Join MedCore Solutions' growing US Healthcare division as an Insurance Verification Specialist. You will verify patient insurance coverage, obtain pre-authorizations, and ensure patients understand their benefits. This role involves liaising between patients, providers, and insurance companies, ensuring regulatory compliance. The position offers flexible hours and a fast-paced environment. The work is full-time, permanent work from home, until December 2025. The company values a rewarding, respectful, and productive employee experience.

Requirements

  • Minimum of 3 years of experience in insurance verification in US healthcare
  • Strong knowledge of various insurance types and payer requirements
  • Familiarity with medical terminology and various healthcare processes
  • Excellent communication and customer service skills
  • Attention to detail and strong organizational skills
  • Proficient in using insurance verification software
  • Ability to work independently and as part of a team
  • Strong analytical and problem-solving abilities
  • Experience with HIPAA regulations

Responsibilities

  • Verify insurance eligibility and coverage for patients prior to their appointments
  • Obtain and process pre-authorizations and prior authorizations for various procedures and treatments
  • Act as a liaison between patients, healthcare providers, and insurance companies
  • Provide information to patients regarding their insurance benefits and coverage limits
  • Follow written policies for aligning patient demographic data
  • Collaborate with the scheduling department via our internal messaging board to coordinate patients’ appointments according to their insurance verification process
  • Maintain accurate records of patient insurance details and verification statuses
  • Monitor pending verifications and follow up with insurance carriers as necessary
  • Resolve any issues related to insurance verification in a timely manner
  • Stay updated on changes in insurance policies and healthcare regulations
  • Collaborate with internal teams to streamline verification processes

Preferred Qualifications

Amenable to work in a graveyard shift

Benefits

  • Permanent Work From Home
  • Permanent Weekends Off
  • Great Company Culture and No Micromanagement
  • Weekly Paychecks
  • Thriving Company Culture with Complete Autonomy
  • Unlock Your Potential with a Highly Competitive Salary

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