Insurance Verification Specialist
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Job Description
Remote Insurance Verification Specialist verifying insurance benefits for U.S. healthcare clients. Managing payer portals, coverage details, documentation, and compliance.
Responsibilities:
- Perform accurate and timely insurance eligibility and benefits verification.
- Verify patient coverage, plan details, effective dates, copays, deductibles, coinsurance, and other relevant benefits.
- Review insurance information through payer portals, phone systems, and other verification channels.
- Handle real-time verification requests during practice hours and respond promptly to time-sensitive inquiries.
- Identify discrepancies, inactive coverage, or missing insurance information and communicate findings to the appropriate team.
- Document verification results accurately and maintain organized patient and insurance records.
- Communicate professionally with insurance representatives, healthcare staff, and other relevant parties.
- Follow established workflows, payer requirements, and internal procedures to ensure accuracy and compliance.
- Maintain confidentiality and handle patient information in accordance with applicable privacy requirements.
Requirements:
- Has 1 year of prior experience in insurance verification or insurance eligibility and benefits verification.
- Hands-on experience with Veradigm is highly preferred.
- Experience working with insurance payer portals and/or insurance companies.
- Strong attention to detail and accuracy.
- Excellent verbal and written communication skills.
- Ability to navigate multiple systems and maintain organized documentation.
- Experience in medical billing, patient access, revenue cycle management, or healthcare administration is an advantage.
- Must speak and write English clearly and professionally.
- Must have relevant work experience.
- Must be able to provide an NBI Clearance and/or Local Police Clearance before onboarding (mandatory).
- Must be available to attend video meetings with camera on when required.
- Reliable laptop or desktop computer.
- Stable high-speed internet connection (minimum 25 Mbps).
- Noise-canceling headset.
- Working webcam for virtual meetings.
- Quiet and professional work environment.
Benefits:
- Dedicated HR & Contractor Support Team
- Premium VPN Access (Optional)
- HIPAA & Cybersecurity Training + Certification (Provided)
- Top 1% VA Performance Training
- Client-Approved U.S. Holidays
- Client-Approved Paid or Unpaid Time Off
- Access to Tools & Resources
- Optional Performance-Based Incentives
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