Insurance Verification Coordinator I - 590069

TEKsystemsOrlando, FL
$18 - $18Remote

About The Position

This role focuses on verifying insurance eligibility, managing prior authorizations, coordinating benefits, and ensuring accurate billing and documentation. It requires strong communication skills, attention to detail, and collaboration with patients, physician offices, and insurance companies. Key Highlights Core Functions: Insurance verification, prior authorization management, billing, claim resolution, and documentation. Education/Experience: High school diploma with 1+ years of medical billing or insurance verification experience. Bachelor’s degree can substitute. Preferred Backgrounds: Managed Care, Pharmacy, Medical Terminology, Physician Office, Customer Service, Call Center. Technical Skills: Proficiency in Microsoft Office; familiarity with HIPAA compliance and healthcare documentation. Top 3 Must‑Have Skills: Managed Care, Customer Service, Call Center. Typical Day in the Role Insurance verification for medication and prior authorization appeals. Communicate with patients, doctors’ offices, and insurance plans. Manage inbound internal queue (25+ referrals/day). Maintain 95% quality or higher; attendance is crucial. Candidate Fit Ideal candidates will have direct experience verifying benefits and submitting prior authorizations. They should demonstrate professionalism, accuracy, and the ability to manage high‑volume tasks while maintaining compliance and patient focus.

Requirements

  • High school diploma with 1+ years of medical billing or insurance verification experience. Bachelor’s degree can substitute.
  • Proficiency in Microsoft Office
  • Familiarity with HIPAA compliance and healthcare documentation.
  • Managed Care
  • Customer Service
  • Call Center
  • Direct experience verifying benefits and submitting prior authorizations.
  • Demonstrate professionalism, accuracy, and the ability to manage high‑volume tasks while maintaining compliance and patient focus.

Nice To Haves

  • Managed Care
  • Pharmacy
  • Medical Terminology
  • Physician Office
  • Customer Service
  • Call Center

Responsibilities

  • Insurance verification
  • Prior authorization management
  • Billing
  • Claim resolution
  • Documentation
  • Insurance verification for medication and prior authorization appeals.
  • Communicate with patients, doctors’ offices, and insurance plans.
  • Manage inbound internal queue (25+ referrals/day).
  • Maintain 95% quality or higher; attendance is crucial.

Benefits

  • Medical, dental & vision
  • Critical Illness, Accident, and Hospital
  • 401(k) Retirement Plan – Pre-tax and Roth post-tax contributions available
  • Life Insurance (Voluntary Life & AD&D for the employee and dependents)
  • Short and long-term disability
  • Health Spending Account (HSA)
  • Transportation benefits
  • Employee Assistance Program
  • Time Off/Leave (PTO, Vacation or Sick Leave)

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What This Job Offers

Job Type

Full-time

Career Level

Entry Level

Education Level

High school or GED

Number of Employees

501-1,000 employees

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