Insurance Verification Specialist

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. You will act as a liaison between patients, providers, and insurance companies, ensuring regulatory compliance. This fast-paced role offers flexible hours and is a full-time position until December 2025. The position requires a minimum of three years of experience in US healthcare insurance verification and strong knowledge of various insurance types. MedCore Solutions offers a rewarding work environment with permanent work-from-home opportunities, weekends off, and a competitive salary.

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

Windows 10 Pro (Windows 11 Pro is preferred)

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