Insurance Verification Specialist

Summary

Join MedCore Solutions as an Insurance Verification Specialist and verify patient insurance coverage, obtain pre-authorizations, and ensure patients understand their benefits. You will act as a liaison between patients, providers, and insurance companies, ensuring compliance with healthcare regulations. This fast-paced role offers flexible hours and the chance to work remotely. The position requires a minimum of 3 years of experience in US healthcare insurance verification and strong knowledge of various insurance types. You will need excellent communication and organizational skills, proficiency in insurance verification software, and familiarity with HIPAA regulations. The position is full-time until December 2025.

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
• Amenable to work in a graveyard shift

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

• Achieve a high rate of successful insurance verifications
• Reduce the turnaround time for pre-authorizations
• Minimize patient inquiries about insurance processes
• Maintain accurate and detailed records of verifications

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