Patient Insurance Verification & Authorization Specialist

Job Overview

We are seeking a detail-oriented Patient Insurance Verification & Authorization Specialist to manage patient insurance verification, eligibility, authorization, and reverification across multiple healthcare locations. You'll ensure patients are properly cleared before appointments, maintain accurate records, and work closely with front desk, scheduling, and billing teams to prevent delays and claim denials.

This is a fast-paced, high-volume role requiring strong insurance knowledge, organization, accuracy, and proactive follow-up.

Schedule

• Mon-Thu 9:00 AM - 5:00 PM, Fri 9:00 AM - 3:00 PM EST

Responsibilities

• Verify patient insurance eligibility, coverage, benefits, copays, deductibles, and in/out-of-network status.
• Confirm patient demographics and guarantor information and resolve discrepancies.
• Review referrals and scheduling worklists to identify appointments requiring prior authorization.
• Confirm, track, and document required authorizations and promptly escalate missing or pending approvals.
• Reverify insurance coverage regularly and before appointments to identify changes, lapses, or outdated information.
• Manage assigned patients from initial verification through appointment clearance.
• Maintain accurate eligibility, authorization, referral, and patient information in relevant systems.
• Coordinate with front desk and scheduling teams to resolve missing information and insurance issues.
• Support billing teams by identifying verification or authorization issues that could contribute to claim denials.
• Provide overflow phone support and respond professionally to patient and internal inquiries regarding insurance and financial expectations.
• Maintain patient confidentiality and follow established healthcare workflows and compliance requirements.
• Identify recurring issues and communicate trends that may contribute to front-end errors or claim denials.

Requirements

• 2+ years of experience in medical insurance verification, patient intake, healthcare administration, or revenue cycle management preferred.
• Strong understanding of insurance eligibility, benefits, authorizations, copays, deductibles, and coverage requirements.
• Experience using medical insurance portals and verification systems.
• Experience with EHR/EMR, referral, or patient management systems preferred.
• Excellent attention to detail, accuracy, organization, and time management.
• Strong written and verbal communication skills.
• Ability to manage high-volume workloads, multiple priorities, and strict deadlines.
• Proactive problem-solving skills with the ability to identify and resolve issues before they affect appointments or claims.
• Ability to work independently while collaborating effectively with front desk, scheduling, billing, and management teams.
• Strong understanding of patient confidentiality and appropriate handling of sensitive healthcare information.
• Reliable, proactive, and comfortable working in a fast-paced environment.

Key Performance Expectations

• Complete insurance verification and authorization within required turnaround times.
• Keep eligibility, authorization, and patient records accurate and up to date.
• Complete scheduled insurance reverification consistently.
• Identify and escalate issues before they cause appointment delays or claim denials.
• Support clean claims by reducing front-end eligibility and authorization errors.
• Maintain clear and timely communication with patients and internal teams.

Independent Contractor Perks

• Permanent Work from Home
• Immediate Hiring
• Health Insurance Coverage for eligible locations

Note

Please click the Apply button to complete your application, including the assessment questions, technical check, and voice recording. Your hourly pay rate will be established based on your performance in the application process; submissions with all requirements fulfilled will receive priority review.

One application, multiple possibilities: When you apply, our team reviews your background against all current openings, not just this one! If a different role fits your skills, we'll get in touch! We also encourage you to keep exploring our job board and apply directly to any position that excites you.

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