Insurance Verification Specialist - Remote

Overview

MedCore Solutions, the healthcare division of 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.

In Short

• 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 to coordinate patients’ appointments.
• Maintain accurate records of patient insurance details and verification statuses.
• Monitor pending verifications and follow up with insurance carriers.
• Resolve any issues related to insurance verification in a timely manner.
• Stay updated on changes in insurance policies and healthcare regulations.

Requirements

• Detail-oriented with strong organizational skills.
• Excellent communication skills.
• Ability to work in a fast-paced environment.
• Knowledge of healthcare regulations and insurance policies.
• Experience in customer service or healthcare preferred.

Benefits

• Flexible working hours.
• Opportunity to work remotely.
• Full-time position until December 2025.