Posted
14 Aug 2026
Last seen
15 Aug 2026
Location
United States
Lifecycle
fresh
Grade
C
Job Title: Insurance Verification SpecialistClassification: Full Time/1099 ContractorWork Structure: Fully RemoteSchedule/Shift: Monday-Friday; 40 hours/week (between hours of 9a-6p ET)Team: Clinical OperationsReporting to: Program ManagerLocation: United StatesCompensation: $22-$24 per hourJob Summary:The Insurance Verification Specialist will review patient insurance information and verify in advance the treatments that their policies will cover. They then call insurance companies and send the proper documentation to verify authorizations for procedures which require them.Essential Job Functions and Responsibilities:
Enter data and validate patient information.
Researches and corrects invalid or incorrect patient demographic information such as invalid insurance policy number to ensure proper billing.
Determines member benefit coverage.
Monitor and verify insurance information for individual patient visits and procedures.
Communicate with patients about co-pays, benefits, coverage, and care authorization.
Contacts providers with authorization, denial, and appeals process information.
Assists in educating and acts as a resource to scheduling department.
Works and assists with the billing department in researching and resolving rejected, incorrectly paid, and denied claims as requested.
Responds professionally to all inquiries from patients, staff, and payors in a timely manner.
Accurately documents patient accounts of all actions taken
Qualifications: The ideal candidate must be a rigorous analytical thinker and problem solver with the following professional attributes:
Strong work ethic and sound judgment
Proven written and verbal communication skills
Natural curiosity to pursue issues and increase expertise
Demonstrated knowledge of insurances
Two to four years related experience and/or training in insurance verification
Two to four years of experience in medical billing
Two to four years of experience in authorizations
Knowledge of CPT and ICD10 codes.
Excellent computer, multi-tasking and phone skills.
The ability to work well under pressure (most of the paperwork is time
sensitive).
Must successfully pass a background check.
Additional InformationIn accordance with HIPAA, this position must maintain the confidentiality of the patient in all circumstances as well as company confidentiality. Ensures the confidentiality of data collected and stored is maintained.This description is intended to provide basic guidelines for meeting job requirements. Responsibilities, knowledge, skills abilities, and working conditions may change as needs evolve.*Note: This is a 1099 contractor positionOriginally posted on Himalayas
Enter data and validate patient information.
Researches and corrects invalid or incorrect patient demographic information such as invalid insurance policy number to ensure proper billing.
Determines member benefit coverage.
Monitor and verify insurance information for individual patient visits and procedures.
Communicate with patients about co-pays, benefits, coverage, and care authorization.
Contacts providers with authorization, denial, and appeals process information.
Assists in educating and acts as a resource to scheduling department.
Works and assists with the billing department in researching and resolving rejected, incorrectly paid, and denied claims as requested.
Responds professionally to all inquiries from patients, staff, and payors in a timely manner.
Accurately documents patient accounts of all actions taken
Qualifications: The ideal candidate must be a rigorous analytical thinker and problem solver with the following professional attributes:
Strong work ethic and sound judgment
Proven written and verbal communication skills
Natural curiosity to pursue issues and increase expertise
Demonstrated knowledge of insurances
Two to four years related experience and/or training in insurance verification
Two to four years of experience in medical billing
Two to four years of experience in authorizations
Knowledge of CPT and ICD10 codes.
Excellent computer, multi-tasking and phone skills.
The ability to work well under pressure (most of the paperwork is time
sensitive).
Must successfully pass a background check.
Additional InformationIn accordance with HIPAA, this position must maintain the confidentiality of the patient in all circumstances as well as company confidentiality. Ensures the confidentiality of data collected and stored is maintained.This description is intended to provide basic guidelines for meeting job requirements. Responsibilities, knowledge, skills abilities, and working conditions may change as needs evolve.*Note: This is a 1099 contractor positionOriginally posted on Himalayas