Insurance Verification Coordinator I (Remote EST)

Job Description

Job Description

BC Forward is looking for Insurance Verification Coordinator I (Remote EST)

Position Title: Insurance Verification Coordinator I (Remote EST)

Location: Remote EST
Anticipated Start Date: 09/15
Expected Duration: 3 months
Job Type: Contract with possible extension

Shift: 12p - 9p EST

Pay rate: $17/hr on W2

Need: Minimum of 1+ years in medical billing, insurance verification, or a related field

Position Summary

Position Purpose:
Obtain and verify complete insurance information, including managing the prior authorization process, coordinating copay assistance, and ensuring accurate coordination of benefits to support patient access to prescribed therapies.

Education/Experience:

• High school diploma required; 1+ years of experience in medical billing or insurance verification.
• A Bachelor’s degree in a related field may substitute for experience.
• Prior experience working with payors and managing prior authorizations is preferred.
• Strong customer service skills are essential.

Key Responsibilities:

• Obtain and verify insurance eligibility for services rendered; accurately document all information in the system.
• Initiate and complete prior authorizations as required by payor guidelines, including gathering necessary clinical documentation through collaboration with physician offices and insurance companies.
• Collect relevant clinical data such as lab values, diagnosis codes, and treatment plans to support authorization and billing processes.
• Determine patient financial responsibility based on insurance benefits and communicate findings effectively.
• Configure coordination of benefits (COB) on every referral to ensure accurate claims processing.
• Ensure assignment of benefits is secured and on file for all Medicare-related claims.
• Submit claims to insurance companies for therapies provided.
• Document all communications with patients, physicians, and insurance carriers as they relate to collections, authorizations, or coverage issues.
• Identify and coordinate patient assistance resources, including copay cards, third-party support programs, and manufacturer-sponsored assistance initiatives.
• Respond to inbound calls from patients, physician offices, and insurance providers with professionalism and accuracy.
• Investigate and resolve claim rejections related to eligibility, coverage limitations, and other billing or authorization discrepancies.

Story Behind the Need

Purpose of the Team:
This team plays a critical role in ensuring patients gain timely access to prescribed treatments by verifying insurance coverage, securing prior authorizations, and facilitating financial support solutions. Our mission is to remove barriers to care through efficient, compliant, and patient-centered insurance and reimbursement services.

Team Culture & Work Environment:
We foster a collaborative, high-performance environment centered on accountability, accuracy, and empathy. Team members are proactive, detail-oriented, and thrive in a fast-paced setting. The team supports Project ASCEND, an initiative focused on streamlining patient onboarding and improving access to specialty medications through enhanced insurance verification and authorization processes.

Hiring Context:
This role is part of a strategic expansion under Project ASCEND. Additional hiring may follow based on project scalability and operational needs.

A Typical Day in the Role

Day-to-Day Responsibilities:

• Conduct insurance verification for specialty medications.
• Initiate and manage prior authorization submissions, including appeals when necessary.
• Collaborate with patients, healthcare providers, and insurance plans to gather required documentation and resolve coverage issues.
• Process 25+ referrals per day from an inbound internal queue.
• Maintain real-time documentation of all patient and payor interactions.
• Support patients in enrolling in copay and financial assistance programs.

Performance Expectations & Metrics:

• Achieve and sustain a quality accuracy rate of 95% or higher.
• Maintain consistent attendance—attendance is crucial to team performance and patient service levels.
• Meet productivity benchmarks related to referral turnaround time and authorization completion rates.

What Makes This Role Unique?
This position directly impacts patient access to life-enhancing therapies. Success requires not only technical expertise in insurance processes but also strong interpersonal skills to guide patients and providers through complex reimbursement landscapes. The ideal candidate takes ownership of end-to-end insurance verification and prior authorization workflows—from obtaining benefits directly from health plans to submitting PAs independently.

Candidate Requirements

Education/Certification:

• Required: High school diploma
• Preferred: N/A

Licensure:

• Required: N/A
• Preferred: N/A

Years of Experience Required:

• Minimum of 1+ years in medical billing, insurance verification, or a related field

Disqualifiers:

• None specified

Additional Qualities to Look For:

• Proficiency in Microsoft Office (Word, Excel, Outlook)
• Backgrounds that excel in this role include:
  • Managed Care
  • Pharmacy or specialty pharmacy
  • Medical terminology knowledge
  • Physician office experience
  • Customer service or call center environments

Top 3 Must-Have Hard Skills (Stack-Ranked by Importance):

1. Managed Care – Demonstrated experience in navigating health plan policies, benefits interpretation, and payer systems.
2. Customer Service – Ability to communicate clearly, empathetically, and professionally with patients and providers.
3. Call Center Experience – Comfort and efficiency in high-volume phone environments with structured workflows and performance metrics.

Company DescriptionAbout BCforward:

Founded in 1998 on the idea that industry leaders needed a professional service, and workforce management expert, to fuel the development and execution of core business and technology strategies, BCforward is a Black-owned firm providing unique solutions supporting value capture and digital product delivery needs for organizations around the world. Headquartered in Indianapolis, IN with an Offshore Development Center in Hyderabad, India, BCforward’s 6,000 consultants support more than 225 clients globally.

BCforward champions the power of human potential to help companies transform, accelerate, and scale. Guided by our core values of People-Centric, Optimism, Excellence, Diversity, and Accountability, our professionals have helped our clients achieve their strategic goals for more than 25 years. Our strong culture and clear values have enabled BCforward to become a market leader and best in class places to work.

BCforward is an equal opportunity employer.

Company Description

About BCforward:\r\n\r\nFounded in 1998 on the idea that industry leaders needed a professional service, and workforce management expert, to fuel the development and execution of core business and technology strategies, BCforward is a Black-owned firm providing unique solutions supporting value capture and digital product delivery needs for organizations around the world. Headquartered in Indianapolis, IN with an Offshore Development Center in Hyderabad, India, BCforward’s 6,000 consultants support more than 225 clients globally.\r\n\r\nBCforward champions the power of human potential to help companies transform, accelerate, and scale. Guided by our core values of People-Centric, Optimism, Excellence, Diversity, and Accountability, our professionals have helped our clients achieve their strategic goals for more than 25 years. Our strong culture and clear values have enabled BCforward to become a market leader and best in class places to work.\r\n\r\nBCforward is an equal opportunity employer.