Remote Insurance Verification Specialist

Job Summary:

We are seeking a detail-oriented and proactive Remote Insurance Verification Specialist to support our healthcare operations. In this role, you will verify insurance eligibility, benefits, and authorizations, maintain accurate records, and help ensure a smooth revenue cycle process. The ideal candidate has experience in healthcare administration, insurance verification, or medical billing, along with strong communication, organizational, and problem-solving skills. This position requires the ability to work independently in a fast-paced environment, collaborate effectively with internal teams and insurance carriers, and provide accurate information regarding patient coverage and financial responsibility. Candidates must be comfortable working U.S. Eastern Time business hours and be interested in long-term career growth opportunities.

Key Responsibilities:

• Verify insurance eligibility, benefits, and coverage.
• Determine patient financial responsibility, including copays, deductibles, and coinsurance.
• Obtain and manage prior authorizations, referrals, and pre-certifications.
• Maintain accurate insurance documentation in EMR/EHR systems.
• Communicate coverage details and financial obligations to patients and staff.
• Resolve eligibility, authorization, and insurance-related issues.
• Ensure HIPAA compliance and adherence to healthcare regulations.
• Collaborate with clinical, scheduling, and billing teams to support accurate reimbursement.
• Follow up with insurance carriers and maintain detailed verification records.
• Perform other duties related to the position as assigned.

Qualifications & Requirements:

• Proficient level of English (written and spoken).
• Excellent professional and communication skills, allowing for effective collaboration with clients, vendors, and teammates.
• Strong organizational, time-management, and problem-solving skills.
• Experience in healthcare insurance verification, medical billing, revenue cycle management, or a related healthcare administrative role.
• Familiarity using EMR/EHR systems and insurance verification platforms.
• Strong attention to detail and ability to manage multiple tasks in a fast-paced environment.
• Ability to quickly learn new systems, software, and workflows.
• Proficiency with Microsoft Office (Word, Excel, Outlook), and standard business tools (email, spreadsheets, document management).
• Out-of-the-box thinker, highly adaptable, reliable, self-motivated, and confident approach.
• Positive attitude and the ability to learn and adapt quickly.
• Ability to understand and follow established processes accurately with minimal supervision.
• Ability to work U.S. Eastern Time (New York) business hours and adapt to business needs.
• Interested in long-term career opportunities.
• Reliable computer (Windows 10 or newer), two monitors, and stable high-speed internet.

Compensation & Benefits:

• 100% remote work.
• Compensation in USD.
• Full-time position with 40 hours weekly.
• Please note that this is a long-term opportunity.
• Great work environment with potential for growth.