Insurance Verification Specialist

YOU MUST LIVE IN NJ, PA OR FL

Location: Remote 

Status: Full-Time
Department: Billing / Revenue Cycle Management

Position Summary

The Insurance Verification Specialist is responsible for accurately verifying patient insurance coverage and benefits for services across multiple specialties. This role ensures that all required information is obtained and documented prior to appointments and procedures, supporting smooth clinical operations and timely reimbursement. A high level of attention to detail and strong organizational skills are essential.

Key Responsibilities

Verify insurance eligibility and benefits for office visits and in office procedures

Confirm coverage details including deductibles, co-insurance, co-pays, and plan limitations

Identify prior authorization requirements and communicate them to the appropriate team members

Collaborate with scheduling, precertification, and billing teams to address coverage concerns

Obtain referrals based on plan coverage 

Document all benefit information clearly and accurately in the electronic medical record

Communicate with insurance carriers through phone, web portals, and written correspondence

Escalate potential coverage issues or concerns as needed

Provide patients with clear, accurate explanations of benefits when appropriate

Maintain compliance with HIPAA and all internal policies and procedures

Qualifications

Previous experience in insurance verification, authorizations, or medical billing (multi-specialty experience preferred)

Strong understanding of commercial and government insurance plans

Exceptional attention to detail and accuracy

Excellent communication and customer service skills

Ability to manage multiple tasks and work in a fast-paced environment

Proficiency with insurance portals and electronic medical records

YOU MUST LIVE IN NJ, PA OR FL

Why This Role Is Important

The accuracy and thoroughness of insurance verification directly support both patient experience and the financial health of the practice. This role ensures that services are covered, benefits are understood, and potential issues are addressed proactively.