Medical VA · Reviewed 2026-08-14

MedCore Solutions

The healthcare division of BizForce, running US revenue cycle and authorization work from a Philippine remote workforce.

Research note from the agency's public site. Not a hiring or certification promise. Verify the live role, country, and application path before you send documents.

Put MedCore Solutions on your desk. The Prior Authorization and Eligibility course, the resume signals and the interview track all follow the field this agency actually staffs, and the application desk keeps the six steps in one place. Not a hiring promise.

What they appear to look for

Philippines eligibility is stated on the official site. Still verify the live opening.

  • Prior authorizations across medications, procedures, and outpatient testing
  • Medical billing and accounts receivable follow-up
  • Insurance verification and credentialing support
  • Named US systems and payer portals on the resume
  • Two to three years of US healthcare experience on many postings

Roles and day-one work

Titles come from public service and careers copy, not from a live scrape. The matching RemoteNurse field is Prior Authorization and Eligibility, hired as Prior authorization VA.

Prior authorization specialist

Decide if the service is gated, gather the record, submit, and work the clock.

You never convert a thin chart into an approval or a denial.

Hiring signals
Authorization packetsEligibilityPayer portalsClock management

Medical billing VA

Key charges, scrub claims, and flag the remittance exception.

You do not decide what a payer pays.

Hiring signals
Charge entryClaims follow-upRemittance readingDenial routing

Virtual administrative assistant

Verify insurance, move referrals, and keep the back office current.

You do not decide coverage. You complete the file and route what is blocked.

Hiring signals
Insurance verificationInbox and follow-upHIPAA trainingSOP adherence

Hiring map

A concept map from this agency to the practice tracks we already teach. Generated from the catalog, not drawn by a model.

Agency

MedCore Solutions

Roles they staff

  • Prior authorization specialistDecide if the service is gated, gather the record, submit, and work the clock.
  • Medical billing VAKey charges, scrub claims, and flag the remittance exception.
  • Virtual administrative assistantVerify insurance, move referrals, and keep the back office current.

What the work needs

  • Authorization packetDecide if the service is gated, gather the record, submit, and work the clock. You never convert a thin chart into an approval.
  • Eligibility and benefitsConfirm coverage and benefits before the visit, and document the conflict when screens disagree.
  • Claims and postingKey the charge, scrub the claim, and flag the remittance line you cannot close.
  • Denials and ARRead the denial, mine the chart for evidence, and write the appeal. You do not issue the denial.
  • Payer and clinic phoneConfirm what the other side has on file, record the conflict, and never invent a coverage rule.
  • Privacy and minimum necessaryHandle patient information only as far as the task needs, and stop when the request is too broad.

Practice tracks

  • Prior Authorization
  • Eligibility & Benefits
  • Medical Billing & Claims Review
  • Denials & Appeals
  • Payer Communication
  • Documentation Review

First lesson

Open Mermaid source

Open-source diagram text. Paste into any Mermaid renderer. The product does not load a diagram library.

flowchart LR
  agency["MedCore Solutions"]
  role0["Prior authorization specialist"]
  agency --> role0
  role1["Medical billing VA"]
  agency --> role1
  role2["Virtual administrative assistant"]
  agency --> role2
  comp0["Authorization packet"]
  role0 --> comp0
  track0["Prior Authorization"]
  comp0 --> track0
  comp1["Eligibility and benefits"]
  role0 --> comp1
  track1["Eligibility & Benefits"]
  comp1 --> track1
  comp2["Claims and posting"]
  role1 --> comp2
  track2["Medical Billing & Claims Review"]
  comp2 --> track2
  comp3["Denials and AR"]
  role1 --> comp3
  track3["Denials & Appeals"]
  comp3 --> track3
  comp4["Payer and clinic phone"]
  role0 --> comp4
  track4["Payer Communication"]
  comp4 --> track4
  comp5["Privacy and minimum necessary"]
  role1 --> comp5
  track5["Documentation Review"]
  comp5 --> track5

Authorization packet simulation

This is the study plan we curate for MedCore Solutions. Orient, learn, prove, then simulate. Follow it, then apply to the jobs you want. The Case Judge still grades.

  1. OrientRead what this agency sells and the competency map it implies.5 min
  2. LearnIntake: one named gap, a dated note, and the applicable clock7 min
  3. ProveWork a scored case on the same workflow. The Case Judge grades.15 min
  4. SimulateWork the matching scored case. If that case has a released call, run it. You still never issue a denial.12 min

Lessons that match this desk

Papers agencies mention, and do not require

  • HIPAAHIPAA training certificateAgencies ask for a training certificate, not a government credential. This is step zero on every path here. RemoteNurse does not issue it.
  • PACSProfessional in Authorization and Care ServicesPunishing economics relative to VA pay. All demand evidence we have seen is ACMA's own marketing. Present as optional, never as the path spine.

Sources

Read from the official site in this review.