Benefits Verification Specialist

Job Summary

Working remotely in a full-time capacity, the Benefits Verification Specialist will conduct outbound calls to insurance carriers to manually verify patient insurance benefits and accurately route cases based on verification outcomes.

Key Responsibilities

• Place outbound calls to insurance carriers to verify active coverage and obtain detailed benefits information
• Document all information from calls, including reference numbers and call timestamps, and interpret call outcomes to advance cases appropriately
• Identify discrepancies in reported benefits and escalate issues as necessary while meeting productivity and quality standards

Required Qualifications

• 1+ years of experience in medical billing, insurance verification, or a related healthcare administrative role
• Minimum 1 year of customer support experience, preferably in a call center environment
• Familiarity with insurance benefits terminology and payer communication processes
• Proficiency with EHR/practice management software or equivalent case management systems
• Ability to independently assess call outcomes and apply routing logic without constant supervision