Remote Order & Prior Authorization Specialist

Verse Medical, Inc.; Colombia; Hybrid; COP 143,335,000 - 238,892,000; Full time

Job summary

Verse Medical, Inc. is building a remote Operations role that connects nurses, patients, insurers, and partners to ensure orders are processed accurately and on time. You’ll handle PA and RCM work, call partner companies to resolve issues, and keep clear, thorough documentation.

You’ll work with insurance details, escalation when needed, and communicate with clinicians through our provider portal. The role requires healthcare experience, strong English, and an operations mindset.

Qualifications

• Familiarity with DME and medical supplies.
• Experience in RCM, billing, or insurance verification.
• Clear, professional spoken English and confidence on the phone.
• Excellent written communication.
• High attention to detail and a high level of organization.
• An operations mindset: you work with urgency, prioritize well, and care about closing things out.
• Ability to work independently and manage your own time in a remote environment.
• Integrity, honesty, and transparency. These are at the core of how Ops works.
• Prior authorization experience.
• Healthcare background or call center / customer service experience.
• Inquisitive and intrinsically motivated.
• Comfortable with feedback and with changing workflows.

Responsibilities

• Process and manage orders, including insurance coverage details, documentation requirements, and stock shortages.
• Support prior authorization workflows by tracking requests and following up until they’re resolved.
• Call partner companies to confirm details, resolve issues, and unblock orders, and occasionally reach out to providers.
• Communicate with nurses and doctors through our provider portal.
• Spot order and billing issues that could cause denials or delays, and flag them early.
• Document every interaction and outcome clearly so teammates can pick up where you left off.
• Hit volume and accuracy targets while following set guidelines and escalating when something falls outside them.

Skills

DME knowledge

RCM billing

Fluent English

Written communication

Attention to detail

Operations mindset

Independent worker

Integrity & transparency

Prior authorization

Healthcare/call center

Curiosity

Adaptability

Job description

Verse Medical, Inc. is building a remote Operations role that connects nurses, patients, insurers, and partners to ensure orders are processed accurately and on time. You’ll handle PA and RCM work, call partner companies to resolve issues, and keep clear, thorough documentation.

You’ll work with insurance details, escalation when needed, and communicate with clinicians through our provider portal. The role requires healthcare experience, strong English, and an operations mindset.