Pre-Service RCM Specialist (Prior Authorization / Insurance Verification)

Join a team that puts people at the center of everything.

At TLNT, we believe that recruitment is more than just filling roles — it’s about connecting humans with humans. We’re a people-first organization partnering with top U.S. companies to help them grow by attracting exceptional talent, and we know that the right content can open the right doors.

This is an excellent opportunity to grow your career with a leading US-based company — fully remote, on a small team where you work directly with the CEO and your work is visible from day one.

You’ll work with a U.S. revenue cycle company focused on complex, high-value surgical care. They help surgical practices verify insurance benefits, secure prior authorizations, submit clean claims, and get paid accurately for their work. It’s a small, modern, remote-first team where your growth path is real.

In this role, you own everything that happens before a patient’s surgery: verifying benefits by phone and portal, chasing clinical records from surgeon offices,



preparing and submitting prior authorization requests, working appeals, and flagging surgery-date risk early — before it becomes an emergency. This job is for someone relentless: you call again, you follow up again, and you never let a case sit. It’s also thinking work — you read payer medical policies and plan documents, compare them against the clinical record, and know whether a request is strong, weak, or missing something before it goes out.

What You'll Do
- Run verification of benefits (VOB) and eligibility checks for surgical cases, including out-of-network benefit details, authorization requirements, and pre-surgery re-verification.
- Handle carrier phone work: authorization status, expedites, and peer-to-peer scheduling — with every call documented the same day (reference number, representative name, outcome, next action).
- Follow up on clinical records with U.S. surgeon offices —

📌 Pre-Service RCM Specialist (México)
🏢 TLNT Group
📍 México