Insurance Verification Rep I
About The Position
The Insurance Verification Representative I is an entry-level business support role in Utilization Review. The position supports timely patient care by confirming insurance coverage and obtaining authorizations for scheduled and inpatient services. The representative works with payer systems, medical records, internal partners, and families to keep accounts accurate and help reduce avoidable delays. The role is fully remote, including virtual training and interviews, and requires residence within the 50-mile tri-state radius. Standard department hours are 8:00 a.m.–4:30 p.m., Monday–Friday, with flexibility based on team coverage. The position is full time, with a 40-hour weekly schedule and 1.0 FTE. The expected starting pay range is $18.66–$22.89; starting pay depends on experience, skills, and equity, and additional pay and benefits may apply.
Requirements
- High school diploma or equivalent.
- Zero or more years of related work experience; no directly related experience is required.
- Ability to learn payer-specific processes and system workflows quickly.
- Comfort navigating technology, payer portals, email, and multiple work queues.
- Careful attention to detail, steady follow-through, and an organized approach to changing priorities.
- Clear, respectful communication with internal partners, payer representatives, and families.
- Collaborative approach and willingness to help the team manage changing workload needs.
- Must reside within the 50-mile tri-state residency radius.
Nice To Haves
- Experience in insurance verification, registration, financial clearance, admitting, billing, pre-authorization, or other healthcare revenue cycle work.
- Experience using insurance company portals to upload information, initiate cases, or research authorization status.
- Exposure to Epic or another electronic health record system.
- Experience managing email requests, troubleshooting account questions, and balancing a high-volume queue.
Responsibilities
- Collect and verify insurance information and patient demographics, obtain insurance authorizations, and enter information into required systems.
- Manage assigned work queues independently and collaboratively while meeting productivity expectations.
- Use payer portals, medical records, and other systems to confirm receipt of or obtain pre-authorization for services and medications.
- Serve as a liaison among billing, admitting, outpatient services, Patient Financial Services, Utilization Review, and other departments.
- Contact internal and external partners to resolve issues and appropriately escalate system errors or recurring work-queue problems.
- Help confirm insurance eligibility, referrals, and authorizations while minimizing stress for patients and families.
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What This Job Offers
Job Type
Full-time
Career Level
Entry Level
Education Level
High school or GED
