INSURANCE VERIFICATION SPECIALIST

FAMILY SERVICE LEAGUE • Brentwood, NY

2d • Remote

About The Position

Family Service League is seeking a part-time Insurance Verification Specialist to support the Children and Family Treatment and Support Services (CFTSS) program. The role ensures clients receive required prior authorizations from Managed Care Organizations and maintain active, valid insurance coverage, including Medicaid, Child Health Plus, and Family Health Plus.

The position has flexible hours, with most work completed remotely, on a Monday–Friday schedule. The candidate must be local to Long Island and able to travel to an office for training and other occasions as needed.

Requirements

• High school diploma or equivalent.
• One year of related experience in medical billing, coding, or authorizations.
• Proficient computer skills, including Microsoft Office, especially Excel.
• Familiarity with medical software and insurance websites.
• Advanced Excel skills.
• Ability to work independently and as part of a team in a fast-paced environment.
• Excellent organizational, verbal, and written communication skills.
• Strong initiative, attention to detail, and ability to multitask.
• Must be local to Long Island and able to travel to an office for training and other occasions as needed.

Responsibilities

• Submit insurance prior authorization requests and all required documentation in a timely manner.
• Coordinate with Medicaid Managed Care Organizations regarding authorization requests.
• Attend webinars and stay current on authorization requirements for each Managed Care Organization.
• Maintain and update authorization tracking tools so the billing department and management can monitor authorization status.
• Notify the billing vendor of authorizations received.
• Verify insurance eligibility and coverage status for clients as needed.
• Communicate with CFTSS staff to ensure all required authorization documentation is obtained.
• Navigate insurance verification systems, including ePACES and Availity Essentials.
• Perform other duties as assigned.

What This Job Offers

• Job Type: Part-time
• Education Level: High school or GED