Pre Service Center Verification Specialist

🔥 14 hours ago

🇺🇸 United States – Remote

💵 $24 - $29 / hour

⏰ Full Time

🟢 Junior

🚫👨‍🎓 No degree required

👻 Ghost score 0%

What it means: how likely this posting is sitting open without active hiring.How to read it: 60% or higher means we think this is a ghost. Lower scores are less of a worry.How we score it: age, reposts, open roles vs team size, how fast jobs close, and whether pay is listed.Fine print: an estimate from public data, not a judgment of the company. Real jobs can score high, so treat it as a hint, not a fact.

Apply Now

Find Similar Remote Jobs

Set Up Email Alert For New Jobs

📊 Check your resume score for this job

Improve your chances of getting an interview by checking your resume score before you apply.

Upload Resume

Boston Medical Center (BMC)

WebsiteLinkedInAll Job Openings

5001 - 10000 employees

Founded 1996

Boston Medical Center (BMC) is a 511-bed, equity-led academic medical center and a proud member of the Boston Medical Center Health System. BMC delivers a model of healthcare where innovative and equitable care empowers all patients to thrive. As a premier academic medical center in Boston, a national leader in clinical care, and the largest essential hospital in New England, BMC’s world-class clinicians provide comprehensive care in more than 70 specialties and subspecialties.

📋 Description

• Coordinate financial clearance activities through pre-registration, insurance verification, referrals, prior authorizations, precertifications, and pre-service collections • Monitor registration, referral, and prior authorization work queues and clear accounts • Navigate BMC and payer policies to obtain approvals and support patient access • Assist BMC staff with financial clearance issues • Obtain and document referrals and prior authorizations in Epic and practice management systems • Collaborate with practices, physicians, insurance carriers, patients, and departments to resolve clearance issues • Follow up on management reports and work queues • Escalate denied or financially uncleared accounts according to policy • Interview patients, families, and referring physicians to obtain demographic, financial, and insurance information • Create complete registration records for new Boston Medical Center patients • Process copayments, coinsurance, deductibles, and outstanding balances • Maintain confidentiality and comply with healthcare collection laws and organizational policies • Participate in education, development, quality audits, and process improvement initiatives • Meet productivity and quality expectations and handle telephone calls according to customer service standards

🎯 Requirements

• High School Diploma or GED required; associate's degree or higher preferred • 1–3 years of hospital registration and/or insurance experience desirable • At least one year of experience in a customer service role • General knowledge of healthcare terminology and CPT-ICD10 codes • Complete understanding of insurance preferred • Demonstrated customer service skills • Exceptional interpersonal skills • Effective written and excellent verbal communication skills • Ability to work in a complex environment with varying points of view • Comfort with ambiguity, sound decision-making and judgment, and attention to detail • Knowledge of and experience within Epic preferred • Technical proficiency in Epic work queues and ancillary systems, including ADT/Prelude/Grand Centrale • Ability to maintain strict confidentiality of personal/health-sensitive information • Ability to handle challenging situations and balance multiple priorities • Basic computer proficiency, including Microsoft Excel, Word, Outlook, and Zoom • Knowledge of Revenue Cycle processes and ability to meet productivity standards

🏖️ Benefits

• Medical, dental, vision, and pharmacy benefits • Contract increases • Flexible Spending Accounts • 403(b) savings matches • Earned time cash out • Paid time off • Career advancement opportunities • Resources to support employee and family wellbeing • Educational offerings and development opportunities • Remote work