Insurance Verification Coordinator

Job Summary

To support patient access initiatives, the full-time remote Insurance Verification Coordinator will manage medical necessity-based authorizations for scheduled surgeries, outpatient and inpatient services, and direct medical admissions while ensuring compliance with payer coverage policies.

Key responsibilities

• Reviews and prioritizes insurance verification work queues to mitigate financial reimbursement risks
• Verifies insurance eligibility and benefits using automated systems and prepares payer-specific prior authorization requests
• Documents all actions and interactions in the Electronic Medical Record (EMR) system to track the authorization process

Required qualifications

• 1-2 years of experience in Registration, Scheduling, or Prior Authorizations in a healthcare setting
• High School Diploma or GED
• Strong analytical skills and attention to detail
• Ability to work independently and manage multiple tasks effectively
• Familiarity with medical terminology and payer policies