Insurance Verification Specialist

4 weeks ago

Southern Manila District, Philippines MedCore Solutions Full time

Insurance Verification Specialist (Neurology & Allergy) | Permanent WFH

We are seeking a detail-oriented Insurance Verification Specialist with expertise in Neurology and Allergy practices . The role involves verifying patient insurance coverage, benefits, and eligibility to ensure smooth billing and claims processing. If you have strong experience with NextGen software and a solid background in healthcare insurance verification, this is an excellent opportunity to advance your career in a permanent work-from-home setup.

Key Responsibilities:

  • Verify patient insurance eligibility, coverage, and benefits for Neurology and Allergy services.
  • Accurately enter and update insurance information in NextGen EMR.
  • Communicate with insurance companies to confirm benefits and resolve discrepancies.
  • Work closely with providers, billing, and front-office staff to ensure claims accuracy.
  • Assist in resolving prior authorization and referral requirements.
  • Maintain compliance with HIPAA and payer-specific guidelines.

Requirements:

  • Minimum 3 years of relevant experience in insurance verification.
  • Background in Neurology and Allergy specialties preferred.
  • Proficiency in NextGen software required.
  • Strong understanding of healthcare insurance plans, coverage, and policies.
  • Excellent attention to detail, organizational skills, and communication abilities.
  • Ability to work independently in a fully remote environment.

Work-from-Home Device Requirement:

  • Device: Personal computer with Intel Core i5 or higher , or AMD Ryzen 5 or higher
  • Internet: Wired connection with at least 50 Mbps download speed, plus a backup connection (e.g., mobile hotspot or prepaid Wi-Fi)
  • Work Environment: Quiet, well-lit space with minimal background noise
  • Permanent Work From Home
  • Weekly Paychecks
  • Thriving Company Culture with Complete Autonomy
  • Exclusive Specialized Training Programs
  • Unlock Your Potential with a Highly Competitive Salary

Who are we?

MedCore Solutions is the healthcare division of BizForce, dedicated to supporting U.S.-based healthcare clients through a skilled remote workforce in the Philippines. We specialize in connecting top clinical and administrative talent with reputable healthcare organizations, ensuring high-quality care delivery while providing rewarding work-from-home careers.

Why work for Bizforce?

Bizforce is a global remote workforce solutions company currently partnering with some of the largest Architectural and Engineering firms in the world. If you are looking to advance your career and improve your skills with an industry leader, we encourage you to apply today

Bizforce is proud to partner with PH to deliver qualified, professional workers, giving our Architects and Engineers the ability to have an unbeatable career and work from home.

Bizforce is an equal opportunities employer and welcomes applications from diverse candidates.

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