US Insurance Eligibility Specialist

Overview

The Insurance Eligibility Specialist is responsible for verifying patient insurance coverage and benefits prior to the delivery of the clients telehealth and VR therapy services. This role ensures a smooth onboarding experience for patients while supporting clean claim submission and minimizing billing delays.

Schedule:

• Full-time | 40 hours per week | Monday–Friday 9 AM–6 PM EST

Responsibilities

• Verify patient insurance eligibility and benefits for DME and telehealth therapy services prior to enrollment.
• Contact insurance carriers via phone, portal, or EDI to confirm coverage, deductibles, copays, and authorization requirements.
• Accurately document verification results in the CRM and EMR/HER.
• Coordinate with the billing and clinical teams to flag coverage gaps or prior authorization needs.
• Communicate eligibility findings to patients and internal stakeholders clearly and timely manner
• Maintain up-to-date knowledge of payer policies relevant to telehealth and durable medical equipment (DME) or digital therapeutics.
• Support denial prevention by identifying eligibility-related issues before claims are

Requirements

• 1–2 years of experience in medical billing, insurance verification, or a healthcare administrative role
• Basic understanding of insurance terminology (EOB, COB, deductibles, out-of-pocket, prior auth)
• Familiarity with EMR/EHR systems and payer portals
• Strong attention to detail and data entry accuracy
• Clear written and verbal communication skills
• Ability to work independently in a remote environment.

Nice to Have:

• Experience with telehealth billing or digital health companies
• Exposure HubSpot and NikoHealth

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.

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