Pre-Service Verification Specialist

Job Summary

To support financial clearance activities, the full-time Remote Pre-Service Verification Specialist will coordinate patient demographic verification, insurance validation, and referral authorization processes while ensuring timely access to care and maximizing hospital reimbursement.

Key responsibilities:

• Monitor and clear work queues by obtaining necessary financial clearance elements and ensuring compliance with insurance requirements
• Act as a subject matter expert in navigating BMC and payer policies to secure authorizations and referrals for scheduled care
• Collaborate with patients, providers, and departments to obtain necessary information and permissions prior to scheduled services

Required qualifications:

• High School Diploma or GED required; Associate's degree or higher preferred
• 1-3 years of hospital registration and/or insurance experience, with at least one year in a customer service role
• General knowledge of healthcare terminology and CPT-ICD10 codes; understanding of insurance preferred
• Proficiency in Epic and Microsoft Suite applications, particularly Excel, Word, Outlook, and Zoom
• Ability to maintain strict confidentiality of personal and health-sensitive information