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.
Medical billing VA
Key charges, scrub claims, and flag the remittance exception.
You do not decide what a payer pays.
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 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.
- OrientRead what this agency sells and the competency map it implies.5 min
- LearnIntake: one named gap, a dated note, and the applicable clock7 min
- ProveWork a scored case on the same workflow. The Case Judge grades.15 min
- 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.