Verification Specialist

Job Summary

Working remotely and full-time, the Verification Specialist will examine patient eligibility for home care services, ensuring clear communication with patients and families regarding insurance verification and billing processes.

Key responsibilities:

• Communicate with patients and families about insurance verification and billing, ensuring understanding of covered services and out-of-pocket costs
• Evaluate patient eligibility for services, verify necessary documentation, and manage hospital hold workflows
• Stay current with agency policies, CMS guidelines, and complete required documentation in compliance with company standards

Required qualifications:

• High school graduate or equivalent
• Two years of experience in the insurance verification or healthcare field
• Knowledge of CMS guidelines and familiarity with medical terminology
• Ability to meet all physical demands of the role