Virtual Nurse Assistant

MedCore Solutions, the healthcare division of Bizforce, is seeking a skilled and detail-oriented Virtual Nurse Assistant, licensed in Texas, to support healthcare providers with patient case reviews, prior authorizations, patient communication, and insurance appeals. The ideal candidate will have clinical experience, strong knowledge of healthcare processes, and excellent communication skills to manage tasks efficiently in a remote environment.

Key Responsibilities:

• Conduct case discussions with providers to review patient care plans and gather necessary clinical details for insurance authorizations.
• Process and secure prior authorizations for treatments, medications, diagnostic tests, and procedures from various insurance providers.
• Communicate directly with patients as needed to obtain information, provide updates, and clarify pre-authorization or claims statuses.
• Prepare and manage insurance appeals, ensuring accurate documentation and timely follow-up to resolve denied claims.
• Maintain precise and updated records of patient cases, insurance correspondences, and authorization status.
• Collaborate with physicians, billing teams, and insurance representatives to ensure a smooth and compliant workflow.
• Adhere to HIPAA regulations, healthcare policies, and payer guidelines at all times.

Qualifications:

• Active and unrestricted nursing license in the State of Texas
• Experience in prior authorization, insurance verification, and claims appeals
• Familiarity with healthcare terminology, insurance guidelines, and patient care workflows
• Proficiency in Electronic Health Records (EHR) systems and payer portals
• Excellent verbal and written communication skills
• Strong attention to detail, organizational skills, and ability to handle sensitive information with discretion

Benefits

• Permanent Work From Home
• Leave Credits
• Monetary Allowance
• Annual Bonus
• Weekly Paychecks
• Fixed Weekends Off
• Thriving Company Culture with Complete Autonomy
• Exclusive Specialized Training Programs
• Unlock Your Potential with a Highly Competitive Salary

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Who are we?

BizForce is one of the fastest-growing global outsourcing companies in the world, founded in the US in Tucson, Arizona and is now operational in PH!

Our Commitment to delivering high-quality results for our clients and the only way to do that is ensuring a rewarding, respectful and productive experience for our employees. We hold the same values for both our customers and our employees.

Why work for Bizforce?

Bizforce is a global remote workforce solutions company currently partnering with some of the largest Architectural and Engineering firms in the world. If you are looking to advance your career and improve your skills with an industry leader, we encourage you to apply today! Bizforce was founded with one goal – to deliver dependable high-quality skilled labor and business processes to US-based companies at affordable prices. Bizforce has grown rapidly and allows the best talent in PH to work remotely from home with the latest technology and resources. BizForce is proud to partner with PH to deliver qualified, professional workers, giving our Architects and Engineers the ability to have an unbeatable career and work from home.