Insurance Verification & Scheduling Specialist (US Healthcare)

#1 PH Workforce Delivering to the US

MedCore Solutions, the medical division of BizForce is looking for a reliable and experienced Insurance Verification Specialist (with patient appointment scheduling experience) to support a high-volume endocrinology clinic remotely. We are a well-established practice with five active providers and a growing patient base. Your role will be vital in ensuring smooth front-office operations and exceptional patient service.

 Responsibilities

• Verify patients' active insurance coverage (commercial, Medicare, Medicaid, and managed care plans) prior to appointments
• Obtain and document eligibility, coverage limits, copays, deductibles, and referral or authorization requirements
• Contact insurance companies via portal or phone to clarify benefits and resolve issues in real time
• Accurately update insurance details in the EMR (eClinicalWorks)
• Schedule new and follow-up appointments efficiently, following provider availability and visit type protocols
• Reschedule appointments as needed while minimizing patient inconvenience
• Coordinate with the internal clinical and admin team to reduce scheduling conflicts
• Prioritize urgent appointment requests and manage double bookings as appropriate
• Handle a high volume of inbound and outbound calls in a professional, friendly manner
• Provide patients with clear instructions and information regarding appointments, insurance, and pre-visit requirements
• Address patient inquiries with empathy and efficiency, escalating complex concerns when needed
• Minimize patient hold time and follow up on any missed or abandoned calls promptly

• 2+ years of experience in Insurance Verification
• Strong knowledge of US healthcare insurance processes, eligibility rules, and payer types
• Hands-on experience with eClinicalWorks (eCW) preferred
• Excellent spoken English with a neutral or clear accent—this is crucial due to the patient-facing nature of the role
• Comfortable using EMR systems, phone systems, and productivity tools
• Strong multitasking, organizational, and critical thinking skills
• Able to work independently while collaborating remotely with a clinical team

Preferred But Not Required

• Proficiency in Arabic and/or Spanish

Other details:

Start Date: ASAP

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

Days Off: Saturday & Sunday

Time zone: TBD

Work Set-up: Fully Remote

System Requirements

Device (Desktop or Laptop)

1. Processor:
• Windows Devices: Intel Core i5 (or higher) or AMD Ryzen 5 (or higher).
• Mac Devices: Apple M1 chip or newer.
2. RAM:
• Minimum of 8GB or higher for optimal performance.
3. Operating System:
• Windows: Windows 11 Pro (Windows 10 Pro is acceptable but not preferred). The operating system must have a legitimate license.
• Mac: macOS compatible with M1 or newer chips.
4. Hard Disk:
• At least an SSD for faster processing and performance.
5. Internet Connectivity:
• Minimum speed of 50 Mbps via a wired connection for stability and reliability.
• A backup internet connection is highly recommended.

*Power Supply:

• A backup power supply (e.g., UPS or generator) to prevent disruptions during power outages (optional but encouraged)