Insurance Verification Specialist (Biologic/Immunotherapy)

Job Description

Job Description

Description:

This is a remote position and must be available to work and participate in training, meetings, and team collaboration during standard Eastern Time business hours. While all qualified candidates will be considered, candidates located in or aligned with the Eastern Time Zone are preferred due to training and operational support needs.

Job Title: Insurance Verification Specialist (Biologic/Immunotherapy)

Location: Remote, but must reside in any of the following states: AL, AR, FL, GA, IL, IN, KY, MD, MS, MO, OH, OK, PA, TN, & WI

FLSA Status: Non-Exempt, Hourly

Work Schedule: Monday - Friday, 8:00 a.m. - 5:00 p.m.

About Family Allergy & Asthma:

Founded in 1979, Family Allergy & Asthma is one of the nation’s leading allergy and asthma practice groups, serving patients across Arkansas, Florida, Illinois, Indiana, Kentucky, Missouri, Ohio, Pennsylvania, and Tennessee. With more than 100 allergists, we are dedicated to delivering high-quality, patient-centered allergy and immunology care. Our comprehensive services include:

• Allergy and asthma evaluation and treatment
• Environmental, food, and drug allergy testing
• Pulmonary function testing
• High-risk food challenges
• Sublingual immunotherapy
• Aspirin desensitization
• Food immunotherapy

Position Summary:

The primary function of the Insurance Verification Specialist is to contact carrier groups to obtain eligibility information, ensuring that the most updated verifications are entered into the practice management software. This role ensures accurate billing, reduces claim denials and supports a smooth patient experience by communicating insurance information clearly and efficiently.

Summary of Duties and Responsibilities:

• Verify patient insurance eligibility, coverage, benefits, deductibles, copayments and coinsurance.
• Contact insurance companies via phone, online portals or electronic verification systems to obtain accurate coverage information.
• Confirm prior authorization and referral requirements for scheduled services and procedures.
• Update patient insurance information in electronic medical records (EMR).
• Answer incoming calls from internal clinic offices in a professional manner.
• Identify and resolve discrepancies in insurance information before services are rendered.
• Maintain detailed documentation of verification activities and communications.
• Work closely with scheduling, billing, coding and clinical teams.
• Follow HIPPA guidelines and maintain patient confidentiality.
• Stay current on insurance policies, payer requirements and regulatory changes as provided by credentialing team.
• Other duties as assigned by the Revenue Cycle Operation Senior Manager.

Required Education and Experience:

• High School Diploma or GED
• Minimum of 1-3 years of related experience in insurance verification, medical billing, healthcare administration, or related field.
• Knowledge of commercial insurance, Medicare, Medicaid and Managed care plans.
• Familiarity with EMR/EHR systems and medical billing software.
• Strong attention to detail and organization skills.
• Excellent verbal and written communication skills.
• Ability to multitask and manage deadlines in a fast-paced environment.
• Proficiency in Microsoft office suite, including excel and outlook.

EEO Compliance:

All Family Allergy & Asthma divisions are committed to providing an environment of mutual respect where equal employment opportunities are available to all applicants and teammates. Family Allergy & Asthma divisions are equal opportunity employers and as such, openly support and fully commit to recruitment, selection, placement, promotion and compensation of individuals without regard to race, color, religion, age, sex (including pregnancy, gender identity, and sexual orientation), genetic information, national origin, disability status, protected veteran status or any other characteristic protected by federal, state or local laws. We believe that diversity and inclusion among our teammates is critical to our success.

Notice:

At Family Allergy & Asthma and all our divisions, our Human Resources department and recruiters are here to help prospective candidates by matching skillset and experience with the best possible career path at Family Allergy & Asthma and our divisions. We take pride in creating a highly efficient and best in class candidate experience. During the recruitment process, no recruiter or employee will request financial or personal information (Social Security Number, credit card or bank information, etc.) from you via email. The recruiters will not email you from a public webmail client like Hotmail, Gmail, Yahoo Mail, etc.

Pay Transparency:

To encourage pay transparency, promote pay equity, and proactively address regulations, Family Allergy & Asthma and all our divisions will comply with all applicable state or local laws or regulations which require employers to provide wage or salary range information to job applicants and employees. Salary offers may be based on key factors such as education and related experience.