Pre Service Center Verification Specialist

Boston Medical Center (BMC)

. Coordinate financial clearance activities through pre-registration, demographic and insurance validation, insurance verification, referral authorization, precertification, and pre-service cash collection .

Posted 10/27/2026full-timeRemote • United StatesJunior💰 $24 - $30 per hourWebsite

Core Competencies

Role fit

Core Competencies

Use this summary to align your resume positioning with the role.

Demonstrates expertise in financial clearance processes, including insurance verification, authorization, and patient registration within healthcare settings. Proficient in utilizing Epic and ancillary systems while maintaining compliance with HIPAA and healthcare regulations.

Highest-signal resume keywords

Insurance VerificationEpic ProficiencyCustomer Service SkillsRevenue Cycle KnowledgeHealthcare Terminology

ATS Keywords

Tailor your resume

Applicant Tracking System Keywords

Tip: use these terms in your resume and cover letter to boost ATS matches.

Hard Skills

Insurance VerificationAuthorization ProcessingPatient RegistrationCPT-ICD10 KnowledgeRevenue Cycle ProcessesData EntryPre-Service Cash CollectionWorkqueue ManagementConfidentiality MaintenanceQuality Standards Compliance

Soft Skills

Interpersonal SkillsEffective CommunicationJudgment and Decision-MakingAttention to DetailAbility to Handle Challenging Situations

Tools & Technologies

EpicMicrosoft ExcelMicrosoft WordMicrosoft OutlookZoomADT/Prelude/Grand Centrale

Certifications & Qualifications

High School DiplomaGED

Industry Keywords

HealthcareHIPAA CompliancePatient Financial CounselingManaged-Care Quality AuditsBMC RESPECT Standards

About the role

Key responsibilities & impact

Coordinate financial clearance activities through pre-registration, demographic and insurance validation, insurance verification, referral authorization, precertification, and pre-service cash collection
Monitor registration, referral, and prior authorization work queues and clear them according to management guidelines
Navigate BMC and payer policies to obtain authorizations, precertifications, and referrals
Support BMC staff in understanding and resolving financial clearance issues
Obtain insurance verification, authorizations, and referrals using online databases, electronic correspondence, faxes, and phone calls
Document referral and prior authorization information in Epic and relevant practice management systems
Collaborate with practices, physicians, insurance carriers, patients, case management, Patient Financial Counseling, and other departments
Obtain, validate, and update patient demographic, insurance, eligibility, primary care physician, subscriber, employer, and appointment information
Create new patient registration records and complete required registration data
Process copayments, coinsurance, deductibles, and outstanding patient balances
Refer self-pay or unresolved-insurance patients to Patient Financial Counseling
Escalate denied or financially uncleared accounts according to department policy
Conduct patient, family, and physician interviews by telephone before appointments when possible
Resolve registration, insurance verification, referral, and authorization issues
Maintain confidentiality and comply with healthcare collection laws, HIPAA, and regulatory policies
Meet productivity and quality standards and participate in managed-care quality audits
Handle telephone calls and route issues appropriately
Contact the BMC IT Help Desk or appropriate vendors regarding faulty systems or equipment
Attend required training and participate in process-improvement initiatives
Perform other related duties as assigned

Requirements

What you’ll need

High School Diploma or GED required
1-3 years Hospital registration and/or Insurance experience desirable
At least one year of experience must be in a customer service role
General knowledge of healthcare terminology and CPT-ICD10 codes
Complete understanding of insurance preferred
Demonstrated customer service skills and ability to use judgment, independent thinking, and creativity when resolving customer issues
Exceptional interpersonal skills
Effective written communication skills
Excellent verbal communication skills
Ability to work in a complex environment with varying points of view
Comfortable with ambiguity, good decision-making and judgment capabilities, and attention to detail
Knowledge of and experience within Epic preferred
Technical proficiency within Epic workqueues and ancillary systems, including ADT/Prelude/Grand Centrale
Ability to maintain strict confidentiality of personal and health-sensitive information
Ability to handle challenging situations and balance multiple priorities
Basic computer proficiency, including computerized data access, entry, and interpretation
Proficiency in Microsoft Suite applications, specifically Excel, Word, Outlook, and Zoom
Thorough knowledge of various work-unit sections to provide assistance and backup coverage
Deep understanding of Revenue Cycle processes
Must adhere to HIPAA, hospital safety and infection control procedures, organizational policies, and BMC RESPECT behavioral standards

Benefits

Comp & perks

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 sponsored by BMC or other development opportunities
Remote work arrangement
Employer does not require employees to purchase equipment for or prior to employment