Insurance Verification SpecialistThe Insurance Verification Specialist verifies insurance coverage and eligibility for new patients and referrals, and updates coverage information for existing patients. This role obtains pre-authorization for services, requiring strong phone communication skills, and helps patients understand their financial responsibility after coverage has been verified. The Insurance Verification Specialist maintains extensive knowledge of out-of-network insurance benefits and applies medical billing experience to support accurate, compliant patient financial discussions.
Essential Duties & Responsibilities:
Verify insurance coverage and eligibility for patients
Review and interpret insurance policies and benefits
Obtain necessary authorizations for medical procedures
Communicate with insurance companies to resolve any coverage issues or discrepancies
Update patient records with accurate insurance information
Assist patients in understanding their insurance coverage and benefits
Collaborate with the medical billing team to ensure accurate claims submission
Additional duties as assigned
Compensation & Benefits Pay Range: $25-$29/hr
Hours 10 am- 6pm EST
Benefits Offering:
Medical
Dental
Vision
Life Insurance
401(k)
Paid Time Off
Paid Holidays
See PRM full benefits guide with job offer package
Requirements
Required Qualifications:
Previous experience in insurance verification or a related field
Knowledge of medical terminology and coding (ICD-10)
Familiarity with HIPAA regulations and guidelines
Proficient in using office software and electronic medical record systems
Preferred Qualifications: Prior experience working in a medical office
Knowledge, Skills & Abilities:
Extensive knowledge of out-of-network insurance benefits
Strong phone communication skills
Strong attention to detail and accuracy in data entry
Excellent communication skills, both written and verbal
Ability to work independently and as part of a team in a fast-paced environment
Physical Demands & Work Environment:
This role involves prolonged periods of computer and phone use in an office-based or hybrid setting, with regular use of electronic medical record systems and office software to verify coverage, process authorizations, and document patient insurance information.
Salary Description $20-25/ hour