Insurance Verification Specialist

Job Description

Job Description

Position Summary

We are seeking a detail-oriented and reliable Insurance Verification Specialist to join our team. This role is responsible for verifying insurance coverage, eligibility, and benefits to ensure accurate billing and a smooth patient experience. The ideal candidate is organized, proactive, and comfortable working with insurance payers, patients, and internal staff.

Key Responsibilities

• Verify patient insurance eligibility, benefits, and coverage prior to services
• Confirm authorizations, referrals, deductibles, copayments, and coinsurance
• Communicate insurance details clearly to patients and internal teams
• Resolve coverage discrepancies and follow up with insurance carriers as needed
• Maintain accurate documentation in the billing or practice management system
• Stay current with payer rules, policies, and billing requirements
• Assist with pre-certifications and prior authorizations when applicable

Qualifications

• High school diploma or equivalent required (Associate’s degree preferred)
• Minimum [1–2] years of insurance verification or medical billing experience preferred
• Strong knowledge of insurance plans (commercial, Medicare, Medicaid, HMOs, PPOs)
• Excellent attention to detail and organizational skills
• Strong verbal and written communication skills
• Ability to multitask and work efficiently in a fast-paced environment
• Proficiency with electronic health record (EHR) or practice management systems

What We Offer

• Competitive compensation
• Supportive and collaborative work environment
• Opportunities for growth and professional development

• Benefits such as PTO, retirement plan