Job Overview

Our client is looking for a Health Insurance Verification & Prior Authorization Specialist to serve as a critical link between insurance payers and a multi-practice healthcare network, owning the end-to-end eligibility verification and prior authorization process across several doctors' offices simultaneously. You will work across multiple EHR platforms, coordinate directly with providers and payers, and take proactive ownership of resolving denials and discrepancies — ensuring the revenue cycle stays clean and compliant. This is a high-trust, full-time role where your accuracy and initiative have a direct impact on patient care continuity and the financial health of the practices you support.

Client Overview

This is a growing US-based healthcare management services organization that partners with and operates multiple independent primary care practices under a unified management model. They handle the administrative and operational backbone for their provider network, allowing doctors to focus on patient care while the central team manages revenue cycle, scheduling, and compliance. The organization is actively expanding its managed practice portfolio and needs sharp, reliable remote talent to scale alongside that growth.

Schedule

• Monday - Friday, 8:00 AM - 5:00 PM MST (Arizona, no daylight savings) (40 work hours per week)

Responsibilities

• Verify patient insurance eligibility across multiple practices and payer systems
• Obtain and manage prior authorizations to ensure timely approval of medical services
• Coordinate with providers and insurance companies to resolve authorization denials or discrepancies
• Support revenue cycle integrity by ensuring accurate eligibility data entry and documentation
• Process and track authorization requests across multiple EHR platforms for different practice entities

Requirements

• Proven experience in insurance eligibility verification and prior authorization in a healthcare setting
• Familiarity with working across multiple EHR/EMR systems and managing multi-practice workflows
• Strong understanding of healthcare billing terminology and payer requirements
• High level of attention to detail and accuracy in data handling
• Ability to work independently and manage competing priorities
• HIPAA compliance awareness and commitment to patient data confidentiality

Nice to Have

• Experience handling authorization denials and appeals across commercial and government payers is a plus
• Experience supporting revenue cycle operations for primary care or multi-specialty practices
• Ability to onboard quickly to new practice workflows as the organization expands

Independent Contractor Perks

• Permanent work from home
• Immediate hiring
• Health Insurance Coverage

Note

Please click the "Apply" button to complete your application, including the assessment questions, technical check, and voice recording. Your hourly pay rate will be established based on your performance in the application process; submissions with all requirements fulfilled will receive priority review.

One application, multiple possibilities: When you apply, our team reviews your background against all current openings, not just this one! If a different role fits your skills, we'll get in touch! We also encourage you to keep exploring our job board and apply directly to any position that excites you.