Reimbursement Verification Specialist

Job Summary

To support a growing team dedicated to patient access, the full-time Reimbursement Benefit Verification Specialist will manage inbound and outbound calls, verify insurance benefits, and assist with prior authorization processes in a remote setting.

Key responsibilities

• Handle inbound and outbound patient, provider, and payer calls
• Investigate and verify insurance benefits, coverage, and eligibility
• Support prior authorization and appeals processes

Required qualifications

• Minimum 1+ years of experience in healthcare customer service or reimbursement support
• Experience with Medicare Part D, Medicaid, and commercial insurance plans preferred
• Ability to manage high-volume workloads, including 50-100 calls or cases per day
• Ability to work independently in a remote environment
• Proficiency with healthcare software systems and data entry