Overview
We are seeking a detail-oriented Insurance Verification & Authorization Specialist to work remotely and support U.S. healthcare operations. This role is responsible for accurate insurance verification, prior authorization processing, and coordination with patients, insurers, and providers to ensure services are approved before delivery. The ideal candidate has experience with U.S. health insurance authorizations, strong communication skills, and the ability to work efficiently in a fast-paced environment while maintaining high quality standards.
Job Highlights:
• Permanent work from home
• Schedule: Monday to Friday 8:30 AM - 4:30 PM Florida Time with a 30-minute unpaid break
• Client Timezone: Florida
Responsibilities:
• Completes accurate and timely insurance verification.
• Completes accurate and timely third-party prior payer authorization requests, including ensuring all necessary data elements needed for an authorization (e.g., CPT codes, diagnosis codes) are available.
• Ensures services scheduled by outside providers have approved authorization as required by the payer and procedure to prior service.
• Communicates with patients, insurers, and other appropriate parties pertaining to insurance verification and authorization.
• Provides clear documents for clearance /authorization to proceed with office visits and/or procedures
• Creates a positive patient experience by being polite, compassionate, and professional.
• Provides cross-coverage and training when needed for other team members.
• Maintains productivity and quality performance expectations.
• Regular attendance is required to carry out the essential functions of the position.
• Reviews and meets ongoing competency requirements of the role to maintain the skills, knowledge, and abilities to perform within scope role-specific functions.
Requirements
• Previous experience in insurance verification preferred
• MUST HAVE A WINDOWS OS COMPUTER
• Has experience in claims verification and submission
• Excellent verbal and written communication skills
• Strong attention to detail and accurate data entry abilities
• Ability to multitask and prioritize tasks in a fast-paced environment
• Proficient in basic computer skills and data entry
• Experience in US health insurance authorization
Independent Contractor Perks
HMO Coverage for eligible locations
Permanent work from home
Immediate hiring
Steady freelance job
HMO Coverage for eligible locations
Permanent work from home
Immediate hiring
Steady freelance job