About The Position
The Patient Insurance Verification & Authorization Specialist manages patient insurance verification, eligibility, authorization, and reverification across multiple healthcare locations. The role ensures patients are properly cleared before appointments, maintains accurate records, and works with front desk, scheduling, and billing teams to prevent delays and claim denials. It is a fast-paced, high-volume position requiring insurance knowledge, organization, accuracy, and proactive follow-up. The schedule is Monday through Thursday, 9:00 a.m. to 5:00 p.m., and Friday, 9:00 a.m. to 3:00 p.m. US Eastern Time, for 38 hours per week. The posting describes this as an independent contractor opportunity and offers permanent work from home. Hourly pay is established based on performance in the application process.
Requirements
- At least 2 years of experience in medical insurance verification, patient intake, healthcare administration, or revenue cycle management is preferred.
- Strong understanding of insurance eligibility, benefits, authorizations, copays, deductibles, and coverage requirements.
- Experience using medical insurance portals and verification systems.
- Excellent attention to detail, accuracy, organization, and time management.
- Strong written and verbal communication skills.
- Ability to manage high-volume workloads, multiple priorities, and strict deadlines.
- Proactive problem-solving skills and ability to identify and resolve issues before they affect appointments or claims.
- Ability to work independently while collaborating effectively with front desk, scheduling, billing, and management teams.
- Strong understanding of patient confidentiality and appropriate handling of sensitive healthcare information.
- Reliable, proactive, and comfortable working in a fast-paced environment.
Nice To Haves
- Experience with EHR/EMR, referral, or patient management systems.
Responsibilities
- Verify patient insurance eligibility, coverage, benefits, copays, deductibles, and in- or out-of-network status.
- Confirm patient demographics and guarantor information and resolve discrepancies.
- Review referrals and scheduling worklists to identify appointments requiring prior authorization.
- Confirm, track, and document required authorizations, and promptly escalate missing or pending approvals.
- Reverify insurance coverage regularly and before appointments to identify changes, lapses, or outdated information.
- Manage assigned patients from initial verification through appointment clearance.
- Maintain accurate eligibility, authorization, referral, and patient information in relevant systems.
- Coordinate with front desk and scheduling teams to resolve missing information and insurance issues.
- Support billing teams by identifying verification or authorization issues that could contribute to claim denials.
- Provide overflow phone support and respond professionally to patient and internal inquiries about insurance and financial expectations.
- Maintain patient confidentiality and follow established healthcare workflows and compliance requirements.
- Identify recurring issues and communicate trends that may contribute to front-end errors or claim denials.
- Complete insurance verification and authorization within required turnaround times.
- Keep eligibility, authorization, and patient records accurate and up to date.
- Complete scheduled insurance reverification consistently.
- Identify and escalate issues before they cause appointment delays or claim denials.
- Support clean claims by reducing front-end eligibility and authorization errors.
- Maintain clear and timely communication with patients and internal teams.
Benefits
- Health insurance coverage for eligible locations
- Permanent work from home
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What This Job Offers
Education Level
No Education Listed
