medical insurance verifier

Amigos BPO

<div>
 Amigos BPO is the leading outsourcing network in Pakistan known for its commitment to quality and customer satisfaction. With our roots in USA, we have been providing bespoke business solutions to clients&rsquo; across the USA for the past decade. We provide the best platform for young individuals to accelerate their professional as well as personal growth in the industry.
 
 
 
 Role And Responsibilities
 
 
 
 <ul>
 <li>
 As a Call Center Verifier, you will be responsible for:
 </li>
 <li>
 Conducting thorough verification of customer information
 </li>
 <li>
 Ensuring data accuracy and completeness through meticulous review and attention to detail.
 </li>
 <li>
 Communicating effectively with customers and internal teams to resolve any discrepancies or issues.
 </li>
 <li>
 Maintaining up-to-date knowledge of company policies, products, and processes.
 </li>
 <li>
 Collaborating with fellow verifiers and team members to enhance verification protocols.
 </li>
 <li>
 Upholding our company&rsquo;s reputation for exceptional customer service.
 
 
 </li>
 </ul>
 
 Requirements
 
 
 
 <ul>
 <li>
 At least 1 year of previous experience in a Medicare or a similar verification role is essential
 </li>
 <li>
 High school diploma or equivalent; additional education is a plus.
 </li>
 <li>
 Strong attention to detail and analytical skills.
 </li>
 <li>
 Excellent verbal and written communication abilities.
 </li>
 <li>
 Proficiency in using computer systems and data entry tools.
 </li>
 <li>
 Ability to adapt to changing priorities and work under pressure.
 
 
 </li>
 </ul>
 
 Benefits
 
 
 
 <ul>
 <li>
 Competitive compensation package with monthly and yearly bonuses including sales and attendance bonuses
 </li>
 <li>
 Opportunity for professional growth within the company.
 
 
 </li>
 </ul>
 We offer by and large, one of the most attractive and competitive remuneration packages in the market. Apply now and reward yourself with a career that guarantees excellent wages as well as insurmountable prospects of growth.
 
 
 
 Experience
 
 
 
 Verifier &ndash; Medicare Campaign: 1 year (Required)
</div>

Verifier – Medicare Campaign

USA Clinics Group

<div>Why USA Clinics Group?
Founded by Harvard-trained physicians with a vision of offering patient-first care beyond the hospital settings, we&rsquo;ve grown into the nation&rsquo;s largest network of outpatient vein, fibroid, vascular, and prostate centers, with 170+ clinics across the country. Our mission is simple: deliver life-changing, minimally invasive care, close to home.
We&rsquo;re building a culture where innovation, compassion, and accountability thrive. While proud of our growth, we&rsquo;re even more excited about what&rsquo;s ahead, and the team we&rsquo;re building to get there. We look forward to meeting you!
Why You'll Love Working with us:
Rapid career advancement Competitive compensation package
Positive, team-oriented environment Work with cutting-ed technology
Make a real impact on patients&rsquo; lives Join a fast-growing, mission-driven company
USA Clinics Group is looking for an organized and motivated individual to join the team as our newest Insurance Verification Specialist! This position performs the function of obtaining referrals, and/or authorizations prior to the service date for test, procedures, and admissions into the clinics.
Position Details:<ul><li>
Location: Northbrook, IL
</li><li>Schedule: Full-Time, Monday-Friday (on-site)</li><li>
Compensation: $23-$26hr based on experience and qualifications.</li></ul>
Responsibilities:<ul><li><ul><li>
Reviews referring physician and patient documentation for Medical Necessity against insurance protocol requirements for pre-certification purposes.</li><li>
Actively communicates with staff regarding status of authorization. Communicates the need for reschedule and/or cancellation if authorization not in-hand).</li><li>
Directs liaison to offices and patients regarding new, changed, or pending insurance authorizations, as well as on-going education of changes in authorization requirements.</li><li>
Responsible for scheduling STAT, emergent patients for outpatient diagnostic exams.</li><li>
Interacts with patients, their representatives, physicians, physician office staff, and others to gather and ensure accuracy of demographic, billing and clinical information.</li><li>
Produces and distributes required forms with accurate patient information.</li><li>
Respects and protects the patient&rsquo;s rights to confidentiality and privacy and discloses information only for the professional purposes which are in the patient&rsquo;s best interests with full consideration of their legal rights.</li><li>
Displays a positive attitude when interacting with provider&rsquo;s office staff, providers and fellow employees.</li><li>
Performs additional duties as assigned</li></ul></li></ul> 
Requirements 
<ul><li>
High school graduate required. Advanced education preferred.</li><li>
Bilingual in English &amp; Spanish required</li><li>
At least 2 years of prior experience in a health care setting handling benefit verification and prior authorizations, required
</li><li>Billing and Coding or other related certifications a plus</li><li>
Strong computers skills and excellent typing skills</li><li>
Immaculate attention to detail and excellent proofreading skills</li><li>
Excellent Customer Service skills</li><li>
Strong data entry skills</li><li>
Excellent organizational skills</li></ul> 

Benefits 
<ul><li>
Health insurance (medical, dental, vision)
</li><li>Retirement Plan
</li><li>Paid time off (PTO) (vacation, sick)</li></ul>
INDM2</div>

Insurance Verification Specialist - Spanish Speaking

Mac Care

We are seeking a detail-oriented and analytical Insurance Verification &amp; Eligibility Specialist to join our Revenue Cycle team. The ideal candidate will be responsible for verifying patient insurance coverage, determining eligibility, obtaining prior authorizations, and ensuring accurate documentation to support timely claim submission and payment. This role is critical in reducing claim denials, accelerating reimbursements, and supporting overall financial performance in a U.S. healthcare environment.Key Responsibilities: Insurance Verification &amp; Eligibility:<ul><li>Verify patient insurance coverage (commercial, Medicare, Medicaid, and other payers) prior to appointments or services.</li><li>Confirm benefits, deductibles, co-insurance, co-payments, policy limitations, and exclusions.</li><li>Review and interpret payer portals, EHR systems, and clearinghouses for real-time eligibility updates.</li><li>Ensure accurate documentation of verified benefits in the system.</li></ul>Authorization &amp; Pre-Certification:<ul><li>Obtain prior authorizations as required by payers for specific procedures, diagnostic tests, or treatments.</li><li>Communicate with insurance companies to resolve authorization discrepancies or incomplete information.</li><li>Track authorization status and follow up to secure approvals before service dates.</li></ul>Communication &amp; Coordination:<ul><li>Coordinate with providers, schedulers, and billing teams to ensure all insurance-related requirements are met prior to patient appointments.</li><li>Communicate coverage issues, payer requirements, or eligibility concerns to relevant teams promptly.</li><li>Provide guidance to patients regarding coverage expectations, if required.</li></ul>Documentation &amp; Data Accuracy:<ul><li>Maintain complete and accurate patient insurance information in the practice management or billing system.</li><li>Document all interactions, verification results, and authorization details in compliance with organizational policies.</li><li>Identify and correct missing or outdated insurance information.</li></ul>Denial Prevention &amp; RCM Support:<ul><li>Identify potential coverage issues that may result in claim denials.</li><li>Work closely with AR and Billing teams to support clean claim submission.</li><li>Review denial trends related to coverage or eligibility and provide feedback to the team.</li></ul>Qualifications &amp; Requirements:Education:<ul><li>Bachelor&rsquo;s degree preferred, but not mandatory.</li><li>High school diploma or equivalent required.</li></ul>Experience:<ul><li>1&ndash;2 years of experience in U.S. Healthcare Revenue Cycle Management (Insurance Verification, Eligibility, Front-End RCM).</li><li>Experience with commercial insurances, Medicare, Medicaid, and managed care plans preferred.</li><li>Familiarity with EMR systems, clearinghouses, and payer portals.</li></ul>Job Type: Full-timeWork Location: In person

Insurance Verification-Eligibility Specialist

Beacon Health System

<div><div><div><div><div><div>Beacon Health System is hiring a full-time day Patient Access Insurance Specialist, in our Verification of Benefits Department at Beacon Health System in South Bend, IN. 
 
Be a Beacon. Make a Difference.
At Beacon Health System, you&rsquo;re not just part of a team, you&rsquo;re part of something bigger. Every patient interaction is a chance to lead with compassion, build trust, and create lasting impact. Here, your expertise supports healing, and your heart connects us to the communities we serve.
<ul><li>Medical, Dental, &amp; Vision Insurance through Cigna</li>
</ul><ul><li>Life Insurance</li>
</ul><ul><li>403(b) Matching Retirement Fund</li>
</ul><ul><li>Competitive Paid Time Off (PTO)</li>
</ul><ul><li>Shift Differentials</li>
</ul><ul><li>Employee Assistance Program (EAP)</li>
</ul><ul><li>Tuition and Certification Reimbursement</li>
</ul><ul><li>Clinical Ladder Program</li>
</ul><ul><li>Local and National Discounts</li>
</ul><ul><li>Beacon Academy Educational Courses</li>
</ul><ul><li>Gym Membership Discount</li>
</ul>
About Beacon Health System
Headquartered in South Bend, Indiana, as a not-for-profit, community-governed health system, Beacon Health System provides care to more than 4,000 patients each day in northern Indiana and southern Michigan.
What You&rsquo;ll Do
As a Patient Access Insurance Specialist, you will report to the Patient Access Director or the Insurance Specialist Supervisor. Follows established Beacon policies and procedures to verify insurance coverage to ensure necessary procedures and hospitalizations are covered by an individual's provider. The Insurance Verification Authorization Specialist will assure authorization is obtained for all procedures and diagnostic testing to services being rendered. The Authorization Specialist will also initiate the authorization for direct admissions, emergency admissions, and emergency procedures. They will work closely with medical staff, clinical staff, referring clinics, Beacon Outpatient Scheduling Surgery Scheduling, Social Services, and Utilization Review departments. They will be responsible for communication with insurance carriers and/or providers for purposes of obtaining approval for services requiring authorization, pre-certification, and prior approval for admissions to Beacon or Epworth Center by using web-based tools, other electronic means where possible, or by telephoning and faxing when necessary. Coordinating those visits with the correct paperwork and insurance verification, along with accurate documentation in the patient's medical record is essential. They will answer high volume of incoming phone calls as well as making high volume of outbound phone calls, with constant communication to the Utilization Review, Social Services, Beacon Outpatient Scheduling and Surgery Scheduling departments. Performs other clerical duties as necessary.
Patient Access Insurance Specialist Job Responsibilities:
<ul><li>Verify and update patient demographic and financial information to ensure accuracy in the registration system.</li>
<li>Obtain and validate insurance coverage using online eligibility systems, payer portals, and telephone verification.</li>
<li>Utilize Cerner systems and reports (e.g., PHS, SurgiNet, Medical Necessity Checker) to review scheduled patients, procedures, and medical necessity requirements.</li>
<li>Audit and complete required documentation, including MSP questionnaires and insurance verification records.</li>
<li>Coordinate verification of benefits (VOB) by confirming co-pays, deductibles, coinsurance, out-of-pocket limits, and rehabilitation benefits with insurance providers.</li>
<li>Secure and document pre-authorizations and pre-certifications for ancillary, surgical, outpatient, and inpatient procedures.</li>
<li>Collaborate with physician offices, scheduling teams, and referring facilities to ensure required authorizations are obtained and procedures are properly scheduled.</li>
<li>Validate CPT and ICD-10 codes and confirm compliance with Medicare Inpatient Only Procedure (MIPO) requirements when applicable.</li>
<li>Identify out-of-network insurance plans and follow established policies and procedures.</li>
<li>Refer patients to Financial Counselors or Eligibility Specialists when financial clearance or payment arrangements are required.</li>
<li>Maintain accurate worklists, documentation, and records to support timely claim submission and reimbursement.</li>
<li>Calculate and communicate estimated patient financial responsibility, including co-payments and coinsurance.</li>
<li>Prepare reports, patient statistics, and documentation to support departmental operations and leadership requests.</li>
<li>Provide professional customer service by answering calls, communicating with patients and internal departments, and maintaining positive patient relations.</li>
<li>Collaborate with departments such as Utilization Review, Surgery Scheduling, Social Services, and Outpatient Scheduling to ensure accurate and timely patient processing.</li>
<li>Support departmental quality goals by maintaining productivity, accuracy, and compliance with Beacon policies and procedures.</li>
<li>Maintain professionalism while representing Beacon Health System and perform other duties as assigned.</li>
</ul>
What You Bring
As a Patient Access Insurance Specialist, it requires strong office and computer skills, including keyboarding (minimum 40 wpm), data entry, and proficiency with systems such as Cerner, Pathways Healthcare Scheduling, Experian, and MCA Compliance Checker. Demonstrates knowledge of medical terminology, insurance coverage, managed care networks, ICD-10 and CPT codes, and time-of-service collections, including the ability to clearly communicate financial responsibilities to patients. You will possess strong telephone, verbal communication, and listening skills to effectively interact with patients, insurance companies, physicians, and internal departments. You will maintains professionalism and sensitivity when working with diverse populations, follows strict confidentiality policies, exercises sound judgment in stressful situations, and applies basic math skills to calculate patient financial responsibilities such as deductibles, coinsurance, and out-of-pocket costs.
Required Qualifications
<ul><li>The knowledge, skills and abilities as indicated below are normally acquired through the successful completion of a high school diploma (or equivalent).
</li><li>A minimum of two years of experience in a hospital or physician practice business office is required.
</li><li>Excellent time management, organizational skills, research/analytical skills, negotiation, communication (written and verbal), and interpersonal skills required.</li>
<li>A medical terminology course must be successfully completed prior to employment.
</li><li>Associate's degree preferred.
</li><li>Medical prior authorizations or claims experience in a managed care setting and CHAA certification are highly preferred.</li>
</ul>
The Beacon Way
At Beacon Health System, our approach to care goes beyond clinical excellence because it&rsquo;s built on meaningful connections. Guided by our core values of Trust, Respect, Integrity, and Compassion, we strive to create an environment where patients feel heard, employees feel valued, and innovation thrives.
We call this commitment The Beacon Way&mdash;a six-point operating system that empowers every team member to lead with purpose, communicate clearly, cultivate talent, embrace performance improvement, leverage innovation, and build greatness through accountability. Whether at the bedside or behind the scenes, everyone at Beacon plays a role in moving health forward.</div> 
</div>
</div></div></div> 
Location: Beacon Health System &middot; Verification of Benefits 
Schedule: Full-time, Day, 0830-5pm M-F</div>

Patient Access Insurance Specialist, Verification of Benefits Department, Full-Time Days

Exavail

We are hiring a dedicated and experienced Verification Officer for a medical provider handling California Workers&rsquo; Compensation cases. This is a full-time night shift remote position. Work from home will be on an if and when basis, depending on performance and operational requirements.The ideal candidate must have excellent English communication skills, strong follow-up abilities, and prior experience in workers&rsquo; compensation verification, collections, and reporting.Responsibilities:Verify claim files with insurance adjusters and Defense AttorneysFollow up on claim status, billing status, and outstanding balancesMaintain accurate daily reports and updates in ExcelCommunicate professionally via phone and email with adjusters, attorneys, and clientsReview documentation and ensure all files are properly updatedHandle collections and payment follow-upsMeet daily productivity and reporting targetsRequirements:Fluent in spoken and written EnglishStrong knowledge of Microsoft Excel (tracking, reporting, updates)Experience with California Workers&rsquo; Compensation claimsKnowledge of adjuster and Defense Attorney verification processUnderstanding of collections and account receivable follow-upStrong attention to detail and organizational skillsAbility to work independently during night shift hoursWork From Home Requirements (If and When Basis):Personal laptop or desktop computerNoise-cancelling headset/headphonesStable high-speed internet connectionReliable power backup (UPS / inverter / generator)Quiet and professional workspacePreferred:Previous experience with medical providers, lien collections, or WC billingFamiliarity with EAMS, or related portalsJob Type: Full-TimeShift: Night ShiftLocation: Remote / Work From Home (If and When Basis)Pay: Rs30,000.00 - Rs45,000.00 per monthWork Location: Hybrid remote in Karachi

Verification Officer – California Workers’ Compensation (Medical Provider)

AKY Services Pvt. Ltd

Location: Plot 195, 2nd Floor, Street 1, I-10/3, Islamabad Job Type: Full-TimeJob Description: We are actively hiring experienced and fresh Medicare Verifiers for a fast-growing campaign. If you know how to handle calls, verify clients, and close with confidence&mdash;this is where the real money is.What You&rsquo;ll Do:<ul><li>Verify Medicare leads over calls</li><li>Confirm customer eligibility and details</li><li>Maintain call quality &amp; accuracy</li><li>Work closely with the sales team</li></ul>Who We&rsquo;re Looking For:<ul><li>Good English communication skills</li><li>Call center experience preferred (Medicare/ACA is a BIG plus)</li><li>Confident, active, and target-driven</li><li>Night shift availability</li></ul>Salary &amp; Perks:<ul><li>Basic + Commission: 60,000 &ndash; 150,000+ PKR</li><li>High earning potential (no cap on incentives)</li><li>Weekly/Monthly bonuses</li><li>Professional &amp; energetic environment</li></ul>Why Join Us?<ul><li>High-paying campaign (real earning potential)</li><li>Fast hiring process</li><li>Growth opportunities for top performers</li></ul>Apply Now: Send your CV via Indeed or WhatsApp at 0327-6504800 | 0310-5358023Job Type: Full-timePay: Rs60,000.00 - Rs150,000.00 per monthWork Location: In person

Call Center Verifiers – Medicare

Bapco Energies

<div>
 
 Job Description
 
 
 
 Reporting to Head Technical Training, the position of Electrical Instructor is involved in the preparation of curriculum, training manuals, and materials as well as the delivery of technical training to the designated employees and other company staff.
 
 
 
 Key Result Areas (All Roles)
 
 
 
 <ul>
 <li>
 Conduct training needs analysis (TNA) and develop appropriate training programs including but not limited to externally accredited Diploma &amp; Certificated courses.
 </li>
 <li>
 Assist in developing unit technology specific Lesson Plans and supplemental instructional materials to deliver required knowledge, skills and attitude among the trainees.
 </li>
 <li>
 Deliver competency based technical training relevant to electrical systems for all units, infrastructure, equipment, systems and subsystems in the BMP refinery to prepare Electricians for greenfield start up, current plant operations and future positions of the BMP.
 </li>
 <li>
 Administer and deliver consistent Unit specific assessment, instruction and validation to electrical trainees, including but not limited to Electrical needs for:
 </li>
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 Scheduled and preventative maintenance
 </li>
 <li>
 Shutdowns and turnarounds
 </li>
 <li>
 Reliability and condition monitoring
 </li>
 <li>
 Hazardous area training, classification and certification
 </li>
 <li>
 High voltage switching and associated equipment training
 </li>
 <li>
 Refresher Training
 </li>
 <li>
 Ascertain that all training solutions are developed to enhance employee competency to maintain electrical requirements for all process plants during normal, emergency, and shut down situations, safely and effectively.
 </li>
 <li>
 Maintain accurate and detailed records of trainee's performance / progress and provide on the job support and guidance during and after the training event to ensure effective transfer of learning to the job.
 </li>
 <li>
 Follow Bapco&rsquo;s strategic plan to provide effective provision of training closely aligned to the Competency Framework and OE processes.
 </li>
 <li>
 Evaluate and continuously update training courses to meet competency framework requirements and ensure that training solutions are in line with industry best practice.
 </li>
 <li>
 Acts independently regarding developing, scheduling and delivery with all associated in-house communication.
 </li>
 <li>
 Establish and develop independent contacts with external suppliers as required and in developing training interventions for concerned departments to decide the most appropriate refresher and up skilling training requirements.
 
 
 </li>
 </ul>
 
 Knowledge, Skills, And Experience
 
 
 
 <ul>
 <li>
 Minimum bachelor&rsquo;s degree in electrical engineering or equivalent.
 </li>
 <li>
 Minimum of 7 years' work experience of which a minimum of 3 years preferably in developing, conducting, and administering training programs for Oil Refineries or large Process Industries.
 </li>
 <li>
 Certified Assessor / Internal Verifier for Competency Based Assessment is preferred.
 </li>
 <li>
 Should be trained as a technical instructor with the ability to deliver general plant and process engineering learning modules.
 </li>
 <li>
 Work experience in Oil &amp; Gas Industry, preferably petroleum refining.
 </li>
 <li>
 Must have broad experience and familiarity gained from a wide range of refinery process units. Such as: Electrical substations, HV motors, VSD, electrical generators, UPS and associated equipment.
 </li>
 <li>
 In-depth knowledge of learning theories and instructional design models. Lesson and curriculum planning skills.
 </li>
 <li>
 Ability to write effective instructional text, audio and video scripts.
 </li>
 <li>
 A good understanding of learning management systems is beneficial.
 
 
 </li>
 </ul>
 
 About Us
 
 
 
 Bapco Energies operates a portfolio spanning the entire energy value chain in the Kingdom of Bahrain. The portfolio includes wholly-owned subsidiaries and specialized operating companies. Together, these companies drive Bapco Energies' mission to power the next generation.
 
 
 
 About The Team
 
 
 
 Bapco Refining (with a legacy of being referred to as &ldquo;The Company&rdquo; in Arabic - Ash Shariqa locally) is a trusted and enterprising organisation, which has never stood still since its inception. The first to discover oil in the Arabian peninsula in 1932, it started exporting crude in 1934, and installed the region&rsquo;s first crude oil refinery in 1936.
 
 
 Since then the Company has helped shape the modern Kingdom of Bahrain, not simply through the generation of wealth, but through its committed development of the people of Bahrain. The Company is known as the incubator of much of the leadership talent in Bahrain developed over many decades. Bapco Refining touches all aspects of life in the Kingdom.
 
 
 With a rich history of more than 85 years, the adventure continues with new ambitions and initiatives in the downstream sector as well as oil and gas field development. The most recent is the Company&rsquo;s multi-billion dollar expansion project which will significantly increase the Refinery&rsquo;s capacity and employ the latest refining technology to meet future customer demands, latest fuels specifications and environmental compliance.
 
 
 Bapco Refining is engaged in the oil industry including refining and distribution of petroleum products, sales and exports of crude oil and refined products.
</div>

Instructor Electrical

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