Medical Insurance Verification Specialist

Job Overview:

Our client is seeking a detail-oriented, proactive Medical Insurance Verification Specialist to support their healthcare operations. This role is critical in ensuring smooth patient coordination, accurate insurance verification, and efficient administrative workflows. You will be responsible for handling patient communications, verifying insurance coverage, assisting with prior authorizations, and managing high call volumes while maintaining a professional and patient-friendly experience.

Schedule: Monday - Friday, 8:00 am to 5:00 pm Pacific Time, with 1 hour unpaid/paid break (40 work hours per week)

Responsibilities:

• Confirm patient appointments via phone calls and text messages.
• Manage and coordinate appointment scheduling efficiently.
• Handle inbound and outbound calls in a high-volume environment.
• Verify patient insurance eligibility, coverage, and copays.
• Contact insurance providers to confirm benefits and details.
• Accurately document insurance information in internal systems.
• Assist in processing prescription and treatment prior authorizations.
• Coordinate with insurance companies and healthcare providers.
• Follow up on pending approvals and proactively resolve issues.
• Manage emails, file uploads, and documentation.
• Maintain accurate patient records and data entry.
• Support daily operational tasks and workflow organization.
• Provide professional, empathetic, and timely support to patients.
• Address patient inquiries and resolve concerns efficiently to ensure a positive patient experience.

Requirements:

• Proven minimum of 2 years of experience in insurance verification, prior authorizations, or medical administration.
• Experience calling insurance providers and handling benefits verification.
• Strong customer service background (preferably in healthcare or a similar industry).
• Excellent verbal and written English communication skills, clear communicator who can confidently speak with patients and insurance providers.
• Ability to manage high call volumes and multitask effectively.
• Proficient in administrative tools (email, CRM, EMR/EHR systems, spreadsheets).
• Strong attention to detail and a problem-solver who can think critically and resolve issues without constant supervision.
• Highly organized, reliable, and equipped with strong time management skills.
• Proactive team player who is comfortable working autonomously in a fast-paced, process-driven environment.
• Consistently demonstrates professionalism, empathy, and accountability.

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.