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

Requirements

• 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)

Benefits

• Permanent Work From Home
• Weekly Paychecks
• Fixed Weekends Off
• Great Company Culture and No Micromanagement
• Thriving Company Culture with Complete Autonomy

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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.