Insurance Verification Specialist

Responsibilities: Collect, review, and verify patient demographic, insurance, financial, and clinical information to ensure accuracy and completeness. Respond to incoming telephone inquiries and assist patients with insurance eligibility, coverage, authorization, and financial clearance questions. Verify insurance eligibility, coverage, and benefit levels through online payer portals and direct communication with insurance carriers. Obtain insurance pre-certifications and authorizations for scheduled procedures, diagnostic imaging, outpatient services, and other healthcare services as required. Coordinate with insurance carriers, physician offices, and internal departments to secure timely authorization approvals. Review patient medical records, physician orders, diagnosis codes, and supporting clinical documentation to ensure all required information is available for authorization submissions. Monitor assigned work queues and proactively follow up on pending authorizations to ensure completion within established payer and organizational deadlines. Accurately document insurance verification, authorization status, follow-up activities, and patient communications in EPIC. Identify, investigate, and resolve insurance coverage discrepancies, referral requirements, authorization denials, and medical necessity issues. Communicate authorization requirements, coverage limitations, and potential patient financial responsibilities when appropriate. Escalate unresolved authorization or insurance issues that may delay scheduled services. Maintain compliance with organizational policies, payer requirements, and applicable Medicare and Medicaid regulations. Support departmental productivity, quality, and patient financial clearance goals. Qualifications: High school diploma or equivalent required. Previous pre-certification / prior authorization experience required. Experience working with commercial insurance carriers, Medicare, and Medicaid. Experience navigating insurance payer portals and resolving insurance-related issues. EPIC experience strongly preferred. Here is more information: Position: Insurance Verification Specialist Term: 3+ month contract Schedule: Onsite, Monday-Friday 8am-5pm CST Location: Chicago, IL 60611 Pay: $22-24/hr