Insurance Verification Specialist

About the Role

We are recruiting a diligent Insurance Verification & Authorization Specialist to support a busy U.S.-based medical practice. This crucial position ensures patients are prepared for next-day appointments by verifying insurance coverage accurately, securing timely authorizations, and facilitating a seamless financial process for patients.

Key Responsibilities

• Verify insurance eligibility and benefits for patients scheduled the next day across various carriers.
• Confirm active insurance coverage and accurately assess patient financial obligations such as copays, deductibles, and coinsurance for medical visits, procedures, and treatments.
• Secure referrals and obtain prior authorizations from primary care physicians and insurance companies as required.
• Navigate and utilize health plan portals and insurance platforms proficiently.
• Collect payments for telehealth appointments when applicable.
• Coordinate effectively with internal teams to ensure patient readiness and to prevent appointment delays, insurance denials, or cancellations.
• Support general administrative and office tasks as needed.
• Collaborate with fellow insurance verification specialists and on-site staff for smooth operations.

Requirements

• At least one year of experience in insurance verification within a medical office setting.
• Demonstrated experience handling referrals and prior authorization procedures.
• Strong knowledge of medical terminology, including CPT codes.
• Proficiency in using insurance portals and verification platforms.
• Exceptional attention to detail and ability to meet daily deadlines in a fast-paced environment.
• Quick learner with adaptability to changing workflows.
• Effective teamwork capabilities and professional communication skills.
• A customer service–focused approach.

Preferred Qualifications

• Experience supporting Rheumatology clinics.
• Familiarity with Medicare, Medicare Advantage, and commercial insurance plans.
• Bilingual in English and Spanish.
• Previous remote work experience with U.S.-based medical offices.

Benefits

• Fully remote work arrangement.
• Weekends off for work-life balance.
• Stable, long-term career opportunity with a growing healthcare support organization.
• Competitive pay commensurate with experience.
• Comprehensive onboarding and continuous support.
• Opportunities for advancement and increased responsibilities dependent on performance.
• Work in a collaborative and respectful remote environment.

Additional Information

This role is contracted under Service Provision as an Independent Contractor.

Job Type: Full-time

Compensation: Starting from 3400 Peruvian Soles monthly

Location: Remote work based in Indiana, United States