Insurance Verification Coordinator

TEKsystems•Houston, TX

1d•$18 - $26•Remote

About The Position

We are seeking an experienced Insurance Verification Coordinator to join a growing healthcare revenue cycle team. In this role, you will be responsible for obtaining prior authorizations, verifying insurance benefits, and ensuring patients receive timely access to necessary services while protecting reimbursement and reducing claim denials. This is an excellent opportunity for candidates with hospital revenue cycle, patient access, insurance verification, or prior authorization experience who thrive in a fast-paced, detailed-oriented environment.

Requirements

2+ years of experience in: Medical billing, Hospital patient access, Hospital business office operations, Revenue cycle management
Strong experience with insurance verification and prior authorizations
Knowledge of registration, scheduling, pre-certification, and verification processes
Understanding of medical terminology, ICD-10, and CPT coding
Strong analytical and problem-solving abilities
Excellent verbal and written communication skills
Proficiency with Microsoft Office and Outlook
Candidates must reside in one of the following states: Maryland, Pennsylvania, Washington, D.C., West Virginia, Virginia, Tennessee, Texas, North Carolina, South Carolina, Georgia, Florida

Nice To Haves

Hospital-based authorization or insurance verification experience
Experience using Epic or similar hospital billing systems
Associate degree in Business, Finance, Healthcare Administration, or related field
Revenue cycle certifications such as: CRCR, CRCS, CRCP, CRCE, CHAA, CHAM, CHFP
Strong customer service skills
Ability to work independently in a fully remote environment
High attention to detail and documentation accuracy
Experience meeting productivity and quality metrics

Responsibilities

Verify insurance eligibility, benefits, and authorization requirements
Obtain prior authorizations through insurance carriers via phone, fax, and payer portals
Review and document copays, deductibles, coinsurance, out-of-pocket amounts, and authorization details
Coordinate with providers, clinical staff, scheduling teams, and financial counselors to ensure authorization requirements are met
Communicate authorization status and coverage concerns to appropriate stakeholders
Monitor accounts to ensure proper authorization is secured for inpatient, outpatient, surgical, elective, urgent, and emergent services
Escalate authorization and coverage issues when necessary
Conduct quality assurance reviews to maintain accuracy and compliance standards
Research payer requirements and stay current on insurance guidelines and authorization criteria
Maintain detailed and accurate account documentation to support reimbursement and denial prevention
Manage team inboxes, faxes, and phone queues while meeting productivity and quality expectations