Insurance Verification, Scheduling
Employment Information
Report this job
Job expired or something wrong with this job?
Job Description
Remote specialist verifying U.S. patient insurance, analyzing EOBs, and resolving claims. Scheduling appointments and providing HIPAA-compliant front-office support by phone.
Responsibilities:
- Conduct real-time insurance eligibility and Verification of Benefits checks for new and existing patients
- Contact commercial and government insurance carriers to verify coverage, benefits, network status, deductibles, copays, and pre-authorization requirements
- Enter structured coverage data into the EMR
- Review EOBs, identify claim adjudication issues, and investigate unpaid or incorrectly processed claims
- Audit payor payments, patient responsibility, and adjustment codes
- Follow up with payor representatives on denied or stalled claims
- Handle high-volume inbound and outbound patient phone calls
- Book, reschedule, and confirm appointments
- Update patient demographics and insurance information in the EMR
- Explain out-of-pocket costs to patients before service
- Coordinate appointment schedules and referral intakes
- Follow up on voicemails and emails
- Provide front-office administrative support while protecting HIPAA data
Requirements:
- Exceptional verbal and written English communication; clear, natural, and accent-neutral spoken English required for phone calls with U.S. patients and insurance representatives
- Proven experience executing Verification of Benefits (VOB) and interpreting Explanations of Benefits (EOBs)
- Demonstrated fluency distinguishing In-Network vs. Out-of-Network coverage, Medicare, copays, deductibles, maximum out-of-pocket limits, and prior authorizations
- 2+ years of experience handling inbound/outbound phone calls and appointment coordination in a U.S. medical office or virtual assistant environment
- Full availability to work 40 hours per week Monday through Friday, 8:00 AM–5:00 PM PST
- Hands-on experience navigating medical practice management software, clearinghouse portals, and VoIP phone systems
- Dedicated, private home office with a lockable door
- High-speed primary internet and backup internet/power solutions
- High-performance PC/Mac and noise-canceling headset
- Ability to maintain strict HIPAA data security standards
Similar Jobs
Commercial Insurance Quality Control Advisor
Quality Control Advisor auditing commercial insurance files for Zensurance, a Canadian digital insurance platform. Analyzing root causes, improving broker workflows, and supporting compliance.
Insurance Technology Sales Executive
Insurance technology sales executive growing Acturis Canada’s SaaS platform among brokers, insurers and MGAs. Managing consultative sales, demonstrations and customer relationships across Canada.
Director, Consult Partner – Insurance
Kyndryl Consult Partner driving insurance account growth and AI-led transformation. Advising carriers, brokers, and MGAs on modernization and strategic technology change.
Insurance Follow Up Specialist
Insurance claims specialist resolving denied and aged medical A/R for Mindful Therapy Group, which supports independent mental health providers. Managing payer follow-up, appeals, corrected claims, and payment posting.
AR Medical Insurance Specialist
Medical insurance specialist managing payer and patient balances for US Oncology Network, a community oncology care network. Resolving billing issues, collections, refunds, and insurance inquiries remotely.
Bilingual Insurance CSR, Mandarin/Cantonese
Bilingual Insurance CSR supporting Cantonese- or Mandarin-speaking insurance customers. Handling policy servicing, quotes, carrier coordination, and customer records remotely.
VP – Insurance F&A Solutioning, Client Enablement
VP leading EXL's insurance finance and accounting solutioning strategy, major pursuits, and client enablement. Building propositions, winning complex deals, and scaling solutioning teams.
Insurance Enrollment Specialist
Insurance Enrollment Specialist managing dental insurance portals, EFT, and ERA enrollments for Smile Partners USA’s dental practice network. Supporting payer access, credentialing accuracy, and revenue cycle process improvement.
Commercial Insurance Sales Producer
Commercial insurance producer growing an existing book of business for NavSav. Building client relationships, selling policies, and meeting monthly sales quotas.
Bilingual Insurance CSR, Mandarin/Cantonese
Bilingual Insurance CSR supporting Cantonese- and Mandarin-speaking customers for Savvital’s insurance client. Handling calls, policy changes, quotes, carrier coordination, and customer records remotely.
Insurance A/R Follow-Up Specialist, Plastic Surgery
Insurance A/R specialist resolving unpaid claims, prior authorizations, and eligibility issues for a California plastic surgery practice. Remote full-time role supporting U.S. healthcare revenue cycle operations.
Licensed Health Insurance Agent
Commission-based health insurance agent acquiring clients and selling policies remotely for American Income Life. Building customer relationships through video-call presentations and company-provided leads.
Senior Insurance Fraud & Claims Investigation Specialist
Insurance fraud specialist analyzing claims evidence and reconstructing loss events for Gramian Consultancy’s AI training and evaluation projects. Producing evidence-based assessments of staged and fraudulent claims.
Risk Management Consultant
Risk Management Consultant developing risk and safety programs for AvonRisk’s Wisconsin self-insured organizations. Advising Members, conducting training and inspections, and mitigating workplace losses across the state.
Specialist, Insurance – P&C Claims
P&C claims specialist managing active claims, contractors, and estimate reviews. Supporting insurers and adjusters for Genpact’s AI and business transformation services.
Domain Expert – Insurance, Claims Processing, Coverage
US insurance domain expert mapping claims and coverage processes for Factify’s auditable AI rulebooks. Translating carrier judgment into testable rules, datasets, and validated agent decisions.
Property & Casualty Licensed Insurance Representative – Non-Sales
Remote licensed insurance representative handling inbound and outbound customer inquiries for TP, a global digital business services provider. Resolving policy and healthcare-related issues through web-based tools.
Field Representative – Insurance Inspections
Verisk field representative inspecting commercial properties for insurance underwriting and loss control. Conducting site visits and producing accurate risk reports for insurers.
Reinsurance/Stoploss Medical Claims Adjustor
Medical claims adjustor reviewing and adjudicating complex Reinsurance/Stoploss claims for CVS Health. Researching coverage, recalculating payments, resolving discrepancies, and handling appeals.
Independent Life Insurance Agent – 1099
Independent remote life insurance agent developing prospects and helping families choose life insurance. Building a self-directed business through referrals, outreach, and inbound sales calls.