Insurance Verification Specialist
Job Title: Insurance Verification Specialist
Position Type: Full-Time
Working Hours: 9:00 AM - 6:)0 PM Pacific Daylight Time, Monday - Friday
Salary rate: $5 first 3 months, $6 after
Job Responsibilities:
- Perform accurate and timely insurance eligibility and benefits verification.
- Verify patient coverage, plan details, effective dates, copays, deductibles, coinsurance, and other relevant benefits.
- Review insurance information through payer portals, phone systems, and other verification channels.
- Handle real-time verification requests during practice hours and respond promptly to time-sensitive inquiries.
- Identify discrepancies, inactive coverage, or missing insurance information and communicate findings to the appropriate team.
- Document verification results accurately and maintain organized patient and insurance records.
- Communicate professionally with insurance representatives, healthcare staff, and other relevant parties.
- Follow established workflows, payer requirements, and internal procedures to ensure accuracy and compliance.
- Maintain confidentiality and handle patient information in accordance with applicable privacy requirements.
Requirements
- Has 1 year of prior experience in insurance verification or insurance eligibility and benefits verification.
- Hands-on experience with Veradigm is highly preferred.
- Experience working with insurance payer portals and/or insurance companies.
- Strong attention to detail and accuracy.
- Excellent verbal and written communication skills.
- Ability to navigate multiple systems and maintain organized documentation.
- Experience in medical billing, patient access, revenue cycle management, or healthcare administration is an advantage.
Basic Requirements
- Must speak and write English clearly and professionally.
- Must have relevant work experience.
- Must be able to provide an NBI Clearance and/or Local Police Clearance before onboarding (mandatory).
- Must be available to attend video meetings with camera on when required.
Technical Requirements
- Computer: Reliable laptop or desktop computer.
- Internet: Stable high-speed internet connection (minimum 25 Mbps).
- Audio: Noise-canceling headset.
- Video: Working webcam for virtual meetings.
- Workspace: Quiet and professional work environment.
Benefits
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Dedicated HR & Contractor Support Team: Access to world-class support for questions, guidance, contract matters, and client communication.
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Premium VPN Access (Optional): A secure VPN license can be provided upon request to enhance privacy and security for client-related tasks.
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HIPAA & Cybersecurity Training + Certification (Provided): Access to our internal HIPAA compliance training, cybersecurity modules, and certification to help you confidently handle PHI for U.S. healthcare clients.
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Top 1% VA Performance Training: Access to our proprietary training on communication, client management, productivity systems, and best practices to help you become a top-performing VA and increase long-term client retention.
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Client-Approved U.S. Holidays: Contractors may take U.S. holidays off according to the client’s needs and schedule.
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Client-Approved Paid or Unpaid Time Off: Time off may be granted by your client. Paid time off is optional and only if offered by the client.
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Access to Tools & Resources: Templates, workflow guides, productivity tools, and client-specific SOP support to help you perform at your best.
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Optional Performance-Based Incentives: Some clients may offer bonuses, incentives, or increased hours based on your performance.
These are optional resources and client-approved allowances available to you as an independent contractor. Any resources, training, or allowances listed are optional contractor perks and not employee benefits.
Originally posted on Himalayas
This role requires you to be in the Philippines. If that means relocating or flying in, it is worth checking fares before you commit to a start date.
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