远程医疗验证专家
Remote Healthcare Verification Specialist
工作简介：我们正在寻找一个远程医疗保健验证专家，以通过协调患者约会，提供病人和护理人员支持以及协助保险相关过程来支持我们的医疗服务业务。理想的候选人将有经验在保险资格验证，发票，先前授权和 DME （可持续医疗设备）,以及急诊医疗，医疗办公室，DME 或类似的医疗环境方面的背景。在这个角色中，你将通过电话和电子邮件与患者，护理人员，保险提供商以及医疗保健团队进行沟通，协调约会，验证保险福利和覆盖范围，并协助授权和 DME 相关的流程。理想的候选人是高度组织，细节化，富有资源和舒适地管理多项责任，同时保持高水平的专业性和客户服务。此职位需要能够独立工作，遵循既定的流程，快速学习新系统，并在美国东方时间 （纽约）工作时间：· 处理客户的询问，通过进/出电话和电子邮件通信提供准确信息。· 对患者和护理人员进行外通电话来安排，确认和跟踪医疗约会。·与约会协调和患者支持有关的入电话管理。·根据病人和护理者的需求安排，重新安排和协调医疗约定。·回答有关约会详细情况，可用性，时间以及相关信息的问题。· 在适用的情况下，提供测试结果可用性和预期转换时间的更新。· 保持客户互动，约会和通信的准确详细记录。· 根据需要执行行政和客户服务支持任务。· 为确保患者和护理人员满意度提供专业和高质量的客户服务。· 验证保险资格，发票和先前授权。·处理 DME 和 DME 保险流程。· 在紧急医疗保健，医疗办公室，DME 或类似的医疗保健环境中支持操作。·审查保险福利，覆盖，扣除金，配额和合保险。· 履行与分配职位有关的其他职责。资格和要求：·熟练的英语水平 （书面和口头）. · 强大的人际关系和与沟通能力
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Job Summary:
We are seeking a Remote Healthcare Verification Specialist to support our healthcare operations by coordinating patient appointments, providing patient and caregiver support, and assisting with insurance-related processes. The ideal candidate will have experience with insurance eligibility verification, billing, prior authorizations, and DME (Durable Medical Equipment), as well as a background in Urgent Care, a medical office, DME, or a similar healthcare environment. In this role, you will communicate with patients, caregivers, insurance providers, and healthcare teams through phone and email, coordinate appointments, verify insurance benefits and coverage, and assist with authorizations and DME-related processes. The ideal candidate is highly organized, detail-oriented, resourceful, and comfortable managing multiple responsibilities while maintaining a high level of professionalism and customer service. This position requires the ability to work independently, follow established processes, quickly learn new systems, and work U.S. Eastern Time (New York) business hours.
Key Responsibilities:
- Handle customer inquiries and provide accurate information via inbound/outbound phone calls and email communications.
- Conduct outbound calls to patients and caregivers to schedule, confirm, and follow up on medical appointments.
- Manage inbound calls related to appointment coordination and patient support.
- Schedule, reschedule, and coordinate medical appointments based on patient and caregiver needs.
- Answer questions regarding appointment details, availability, timing, and related information.
- Provide updates regarding test result availability and expected turnaround times, when applicable.
- Maintain accurate and detailed records of customer interactions, appointments, and communications.
- Perform administrative and customer service support tasks as needed.
- Deliver professional and high-quality customer service to ensure patient and caregiver satisfaction.
- Verify insurance eligibility, billing, and prior authorizations.
- Handle DME and DME insurance processes.
- Support operations in Urgent Care, medical office, DME, or similar healthcare settings.
- Review insurance benefits, coverage, deductibles, copays, and coinsurance.
- Perform other duties related to the position as assigned.
Qualifications & Requirements:
- Proficient level of English (written and spoken).
- Strong interpersonal and communication skills with clients, vendors, and teammates.
- Experience with insurance eligibility verification, insurance billing, and prior authorizations is highly preferred.
- Familiarity with Durable Medical Equipment (DME) and DME insurance processes.
- Experience working in Urgent Care, a medical office, DME, or a similar healthcare environment is preferred.
- Strong understanding of insurance benefits, coverage, deductibles, copays, and coinsurance is preferred.
- Familiarity with insurance portals, EMR/EHR systems, and billing or authorization platforms.
- Strong attention to detail and ability to maintain accurate records.
- Excellent organization, and problem-solving skills.
- Ability to manage multiple tasks and meet deadlines in a fast-paced environment.
- Resourceful, accountable, with a strong sense of ownership.
- Out-of-the-box thinker, highly adaptable, reliable, self-motivated, and confident.
- Strong problem-solving skills with the ability to work independently.
- Excellent organizational skills with the ability to manage daily operations.
- Proficiency in Microsoft Office (Word, Excel, Outlook).
- Familiar with standard business tools (email, spreadsheets, document management).
- Ability to quickly learn new systems, software, and workflows.
- Ability to follow established processes accurately with minimal supervision.
- Ability to work U.S. EST (New York) business hours and adapt to business needs.
- Interested in long-term career opportunities.
- Able to undergo a background check.
- Reliable Windows 10+ computer, two monitors, and high-speed internet.
- Reliable backup power source (e.g., power bank, UPS, inverter, or generator) for uninterrupted work during outages.
- Professional home workstation capable of supporting uninterrupted remote work.
Compensation & Benefits:
- 100% remote work.
- Compensation in USD.
- Full-time position with 40 hours weekly.
- Please note that this is a long-term opportunity.
- Great work environment with potential for growth.
Originally posted on Himalayas