Insurance Verification Specialist

This is a remote position.

• 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