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Insurance Verification & Scheduling Specialist (US Healthcare)
Insurance Verification & Scheduling Specialist (US Healthcare)BizForce • Allentown, PA, US
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Insurance Verification & Scheduling Specialist (US Healthcare)

Insurance Verification & Scheduling Specialist (US Healthcare)

BizForce • Allentown, PA, US
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  • [job_card.full_time]
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Insurance Verification Specialist

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
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Insurance Verification Specialist • Allentown, PA, US

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