Insurance Specialist

Job Summary

To support the financial clearance process, the full-time remote Insurance Specialist will verify insurance eligibility and benefits, ensure authorization requirements are met, and communicate effectively with patients and medical staff regarding coverage and financial responsibilities.

Key responsibilities

• Verify insurance eligibility and benefits for scheduled and unscheduled services to ensure compliance with payor requirements
• Calculate and communicate patients' estimated financial responsibilities for scheduled services
• Educate patients on insurance coverage, benefits, and financial responsibilities while maintaining accurate documentation

Required qualifications

• High School Diploma or GED
• 0-1 years of experience in insurance verification, medical billing, or healthcare revenue cycle
• Strong knowledge of insurance plans, authorization requirements, and medical necessity guidelines
• Proficiency in Microsoft Office Suite and healthcare information systems
• Ability to work in a fast-paced environment and manage multiple priorities effectively