Insurance Specialist

Job Summary

To support a dynamic healthcare environment, the remote Insurance Specialist will manage patient insurance verification, coordinate pre-certifications, and maintain accurate documentation while ensuring compliance with insurance guidelines.

Key responsibilities

• Monitors patient work queues for verification needs and coordinates with relevant departments for pre-certification and insurance benefits
• Pre-registers patient cases by entering accurate information into the billing system and verifies insurance coverage and eligibility
• Documents all pertinent information and interactions in compliance with departmental standards and HIPAA guidelines

Required qualifications

• High School diploma
• 2 years of benefit verification/authorization experience or equivalent
• 1 year of customer service experience
• 2 years of clinical/medical precertification/authorization experience
• Proficiency in Microsoft Office tools and desktop equipment