Insurance Verification Specialist

Apply Job Type Full-time Description POSITION SUMMARY The Insurance Verification Specialist verifies insurance coverage and eligibility for new patients and referrals, and updates coverage information for existing patients. This role obtains pre-authorization for services, requiring strong phone communication skills, and helps patients understand their financial responsibility after coverage has been verified. The Insurance Verification Specialist maintains extensive knowledge of out-of-network insurance benefits and applies medical billing experience to support accurate, compliant patient financial discussions. ESSENTIAL DUTIES & RESPONSIBILITIES • Verify insurance coverage and eligibility for patients • Review and interpret insurance policies and benefits • Obtain necessary authorizations for medical procedures • Communicate with insurance companies to resolve any coverage issues or discrepancies • Update patient records with accurate insurance information • Assist patients in understanding their insurance coverage and benefits • Collaborate with the medical billing team to ensure accurate claims submission • Additional duties as assigned COMPENSATION & BENEFITS Pay Range: $25 $29/hr Benefits Offering: Medical Dental Vision Life Insurance 401(k) Paid Time Off Paid Holidays See PRM full benefits guide with job offer package Requirements REQUIRED QUALIFICATIONS • Previous experience in insurance verification or a related field • Knowledge of medical terminology and coding (ICD-10) • Familiarity with HIPAA regulations and guidelines • Proficient in using office software and electronic medical record systems PREFERRED QUALIFICATIONS • Prior experience working in a medical office KNOWLEDGE, SKILLS & ABILITIES • Extensive knowledge of out-of-network insurance benefits • Strong phone communication skills • Strong attention to detail and accuracy in data entry • Excellent communication skills, both written and verbal • Ability to work independently and as part of a team in a fast-paced environment PHYSICAL DEMANDS & WORK ENVIRONMENT This role involves prolonged periods of computer and phone use in an office-based or hybrid setting, with regular use of electronic medical record systems and office software to verify coverage, process authorizations, and document patient insurance information. Salary Description $20-25/ hour