Insurance Verification Specialist (Radiology experience)

#1 PH Workforce Delivering to the US

MedCore Solutions, the healthcare division of BizForce, is looking for a dedicated and detail-oriented Insurance Verification Specialist with 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.

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.

Other details:

Start Date: ASAP

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

Days Off: Saturday & Sunday

Time zone: EST/MST

Work-type: 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

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
• Processor: Either Intel Core i5 and up or AMD Ryzen 5 and Up
• RAM: 8GB and up
• OS: Windows 11 Pro (Windows 10 Pro is acceptable but not preferred). OS should be a legit license
• Internet Connectivity: At least 50 Mbps and should be wired
• Back-up connection and Power Supply
• Hard Disk: At least an SSD
• For Mac: Processor - Apple M1 chip
• RAM: 8GB and up

Benefits

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
• Weekly Paychecks
• Thriving Company Culture with Complete Autonomy
• Unlock Your Potential with a Highly Competitive Salary

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Who We Are

MedCore Solutions is one of the fastest-growing global outsourcing companies in the world, founded in the US in Tucson, Arizona and is now operational in PH!

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

Why work with us?

MedCore Solutions (MCS) is a single source solution for Healthcare administration. MCS is an industry leader for medical billing, credentialing, scribing, insurance verification, compliance and virtual staffing. Upon your request our team of certified coders, can perform a detailed billing analysis to determine if you are receiving the maximum amount of revenue while conforming to CMS guidelines. Ask how MCS can streamline your hospital or practice making healthcare administration simple, effective, and affordable. We pride ourselves on giving you the best solutions tailored to your practice’s specific needs, so you can focus on your patients and revenue producing activities.