Remote Insurance Verification & Authorizations Specialist

BMC Software; United States; Remote; USD 34,000 - 41,000; Full time

Job summary

Boston Medical Center (BMC) is seeking a Pre Service Center (PSC) Verification Specialist to coordinate financial clearance for scheduled care. This remote role involves navigating pre-registration steps, insurance verification, and obtaining referrals or pre-certifications to maximize hospital reimbursement.

The PSC Verification Specialist collaborates with patients, physicians, and payer representatives to ensure timely access to services while maintaining HIPAA compliance and accurate

Qualifications

• Hospital registration and/or Insurance experience desirable.
• Customer service experience required.
• Knowledge of CPT-ICD10 codes preferred.
• Excellent verbal and written communication.
• Ability to work in a complex environment with varying points of view.

Responsibilities

• Coordinate financial clearance including registration, insurance verification, and pre-authorization.
• Obtain referrals and prior authorizations per payer requirements.
• Collaborate with clinicians and insurance providers to ensure patient access.
• Document all information in the Epic system.
• Maintain confidentiality per HIPAA.
• Follow productivity and quality standards.

Skills

Customer service

HIPAA compliance

Epic systems

Communication skills

Medical terminology

Multitasking

Education

High School Diploma or GED

Associate degree preferred

Tools

Epic

Job description

Boston Medical Center (BMC) is seeking a Pre Service Center (PSC) Verification Specialist to coordinate financial clearance for scheduled care. This remote role involves navigating pre-registration steps, insurance verification, and obtaining referrals or pre-certifications to maximize hospital reimbursement.

The PSC Verification Specialist collaborates with patients, physicians, and payer representatives to ensure timely access to services while maintaining HIPAA compliance and accurate