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
Requirements:
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
Job description
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
Preferred Qualifications:
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
