Remote Insurance Verification Specialist

BizForce is looking for a dedicated and detail-oriented Insurance Verification Specialist to join our growing team in the US Healthcare division. In this role, you will be responsible for verifying patient insurance coverage, obtaining pre-authorizations, and ensuring that patients understand their insurance benefits. You will play a crucial role in facilitating communication between patients, healthcare providers, and insurance representatives while ensuring compliance with healthcare regulations. This is an excellent opportunity for candidates seeking to work in a fast-paced environment with flexible hours.

Who We Are

At BizForce, we are committed to delivering top-notch healthcare solutions. Our team specializes in providing a range of services, including medical billing, insurance verification, credentialing, and virtual staffing. We strive to simplify administrative healthcare tasks, allowing healthcare providers to focus on delivering quality care to their patients.

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.
• Maintain accurate records of patient insurance details and verification statuses.
• 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.

Other details:

Start Date: TBD

Schedule: 8 hours/day Monday-Friday; 40 hours/week

Days Off: Saturday & Sunday

Time zone: EST/MST

Duration: Full-time Steady state

• 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

Key Results

• 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

System Requirements

• Own Desktop/Laptop
• Computer Processor: Intel I3/AMD Ryzen 3/MAC Intel I5
• RAM: At least 4GB of RAM (8GB is recommended) with sufficient hard disk space available
• Internet Connectivity: At least 20-25 Mbps and up wired Internet Connection
• Back-up Connections & Power Supply: USB sticks, hotspots, signal-based & wireless connections only for back-up

Our Commitment to delivering high-quality results for our clients and the only way to do that is by ensuring a rewarding, respectful, and productive experience for our employees. We hold the same values for both our customers and our employees.

• Permanent Work From Home

• Permanent Weekends Off

• Great Company Culture and No Micromanagement

• Continued Education

• Specialized Training