Insurance Verification Specialist

This is a remote position.

Only LATAM-based candidates (bilingual in Spanish and English) We are seeking an experienced Insurance Verification & Authorization Specialist to support a busy U.S.-based medical practice. This role plays a critical part in daily operations by ensuring next-day patient readiness, accurate insurance verification, timely authorizations, and a smooth patient financial experience.

The ideal candidate is detail-oriented, proactive, and comfortable working in a fast-paced medical environment while collaborating closely with on-site teams.

Contract: Service Provision- Independant Contractor

Key Responsibilities

- Perform insurance eligibility and benefits verification for next-day patients across multiple carriers

- Confirm active coverage and accurately determine patient financial responsibility (copays, deductibles, coinsurance) for visits, procedures, and treatments

- Obtain referrals and prior authorizations from primary care physicians and insurance companies

- Navigate and utilize health plan portals and insurance platforms efficiently

- Collect payments for telehealth visits when applicable

- Communicate effectively with internal teams to ensure patient readiness and prevent delays, denials, or cancellations

- Support general administrative and office-related duties as needed

- Work collaboratively with other insurance verification specialists and on-site staff

Requirements

- Minimum 1 year of experience in insurance verification within a medical office

- Proven experience with referrals and prior authorization processes

- Strong understanding of medical terminology , including CPT codes

- Hands-on experience with insurance portals and verification platforms

- Excellent attention to detail and ability to meet daily deadlines

- Ability to learn quickly and adapt in a fast-paced environment

- Strong teamwork skills and professional communication style

- Customer service–oriented mindset

Preferred Qualifications:
- Experience working with Rheumatology practices

- Familiarity with Medicare, Medicare Advantage, and commercial plans

- Bilingual proficiency in English and Spanish

- Previous experience working remotely with U.S.-based medical offices

Benefits

- 100% Remote

- Weekends OFF

- Stable, long-term opportunity with a growing healthcare support company

- Competitive compensation based on experience

- Structured onboarding and ongoing support

- Opportunity for professional growth and increased responsibilities based on performance

- Collaborative and respectful remote work environment

- Productivity bonus of 50 USD (paid in local currency)

- Reliability bonus of 25 USD (paid in local currency)

- Consecutive reliability bonus of 50 USD (paid in local currency)

Originally posted on Himalayas