Insurance Verification Specialist

• 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.

• 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.

• 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