Insurance Verification Specialist
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AI Summary
The Insurance Verification Specialist is responsible for performing insurance eligibility and benefits verification for next-day patients and obtaining referrals and prior authorizations. They must communicate effectively with internal teams to ensure patient readiness and prevent delays.
This is a remote position.
We are seeking an experienced Insurance Verification & Authorization Specialist to support a busy U.S.-based medical practice. This role plays a critical part in daily operations by ensuring next-day patient readiness, accurate insurance verification, timely authorizations, and a smooth patient financial experience.The ideal candidate is detail-oriented, proactive, and comfortable working in a fast-paced medical environment while collaborating closely with on-site teams.
Contract: Service Provision- Independant Contractor
Key Responsibilities
- Perform insurance eligibility and benefits verification for next-day patients across multiple carriers
- Confirm active coverage and accurately determine patient financial responsibility (copays, deductibles, coinsurance) for visits, procedures, and treatments
- Obtain referrals and prior authorizations from primary care physicians and insurance companies
- Navigate and utilize health plan portals and insurance platforms efficiently
- Collect payments for telehealth visits when applicable
- Communicate effectively with internal teams to ensure patient readiness and prevent delays, denials, or cancellations
- Support general administrative and office-related duties as needed
- Work collaboratively with other insurance verification specialists and on-site staff
Requirements
- Minimum 1 year of experience in insurance verification within a medical office
- Proven experience with referrals and prior authorization processes
- Strong understanding of medical terminology, including CPT codes
- Hands-on experience with insurance portals and verification platforms
- Excellent attention to detail and ability to meet daily deadlines
- Ability to learn quickly and adapt in a fast-paced environment
- Strong teamwork skills and professional communication style
- Customer service–oriented mindset
- Experience working with Rheumatology practices
- Familiarity with Medicare, Medicare Advantage, and commercial plans
- Bilingual proficiency in English and Spanish
- Previous experience working remotely with U.S.-based medical offices
Benefits
- 100% Remote
- Weekends OFF
- Stable, long-term opportunity with a growing healthcare support company
- Competitive compensation based on experience
- Structured onboarding and ongoing support
- Opportunity for professional growth and increased responsibilities based on performance
- Collaborative and respectful remote work environment
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