Benefits Verification Specialist (Remote - Dallas 50mi Radius)

Job Description

Job Description

Job Title: Benefits Verification Specialist (Remote - Must Reside Within 50 Miles of Dallas, TX)

Duration: Late November 2026 - March 2027 (Possibility of extension/shortening based on business needs)

Location: Remote (Requires in-person equipment pick-up/drop-off & onsite training near Dallas)

Shift: Monday - Friday, 8-hour shift between 7:00 AM - 7:00 PM CST (Training: Mon-Fri, 8:00 AM - 5:00 PM CST)

Position Summary

We are seeking detail-oriented and reliable Benefits Verification Specialists to join our team for a seasonal role supporting our annual re-verification season. In this vital role, you will help patients confirm their healthcare insurance coverage is active and accurate for their prescription drug products.

Important Onsite Requirement: While this is a remote position, you must live within 50 miles of the Dallas, TX area . Candidates are required to pick up equipment in person, drop off equipment in person at the end of the assignment, and attend initial onsite training days before being released to work remotely.

Key Onsite & Onboarding Timeline

• Equipment Pick-Up (In-Person): Nov 30 - Dec 3

• Training (Remote): Dec 7 - Dec 11 (Mon-Fri, 8:00 AM - 5:00 PM CST)

• Equipment Drop-Off (In-Person End of Assignment): End of March, but could be exetneded

Day-to-Day Responsibilities

• Complete a high volume of outbound and inbound calls to patients to re-verify insurance details.

• Clearly and professionally communicate with patients, payers, providers, and pharmacies to gather necessary information, ensuring a positive experience.

• Document patient information and verification outcomes accurately in our system.

• Work collaboratively with team members to meet daily and weekly re-verification goals.

• Maintain a high level of confidentiality and adhere strictly to all HIPAA regulations.

• Troubleshoot and resolve basic patient inquiries regarding the re-verification process.

Required Qualifications

• 1+ years (minimum) of Benefit Verification / Benefit Investigation experience.

• Strong understanding of health insurance concepts (EOB, deductibles, claims, payer portals, etc.).

• Must reside within 50 miles of the Dallas/Bedford/The Colony, TX area.

• Must be willing and able to pick up and drop off equipment in person at the designated locations in The Colony and Bedford, TX.

• High school diploma or GED equivalent.

Preferred Qualifications

• Experience with Pharmacy PBM or HUB services.

• Call center environment experience.

Schedule & Additional Requirements

• Flexibility: Must be able to work any 8-hour shift between 7:00 AM and 7:00 PM CST, Monday through Friday, after training.

• Lunch: 1-hour unpaid lunch break.

• Attendance Policy: No time off is permitted during the entire contract length (a single, pre-planned appointment may be accommodated with advance notice).

• Mandatory Orientation: Must attend a virtual orientation session towards the end of November.

For California Applicants:

We will consider for employment all qualified Applicants, including those with criminal histories, in a manner consistent with the requirements of applicable federal, state and local laws, including the City of Los Angeles' Fair Chance Initiative for Hiring Ordinance (FCIHO), Los Angeles Fair Chance Ordinance for Employers (ULAC), The San Francisco Fair Chance Ordinance (FCO) , and the California Fair Chance Act (CFCA).

This position is subject to a background check based on its job duties, which may include patient care, working with vulnerable populations, access to financial and confidential information, driving, working with heavy machinery, or working in a warehouse or laboratory environment. Due to these job duties, this position has a significant impact on the business operations and reputation, as well as the safety and well-being of individuals who may be cared for as part of the job position or who may interact with staff or clients.