Job Description

Job Title

Insurance Verification Coordinator I

Contract Type / Duration

Contract | 3 months (with possibility to extend or convert)

Location

Remote
Preferred locations: Missouri, Texas, Florida, Minnesota, Illinois, Georgia, South Carolina, North Carolina, Arizona, Michigan, California, Pennsylvania, Kentucky, Ohio, New York, Maryland

Work Hours

12:00 PM 9:00 PM EST

Pay Rate

$18/hour (W-2)

Job Summary / Overview

The Insurance Verification Coordinator I is responsible for verifying patient insurance coverage, completing prior authorizations, and ensuring accurate reimbursement for prescribed therapies. This role involves frequent interaction with patients, physician offices, and insurance providers while maintaining high-quality documentation and service standards. Success in this role requires strong attention to detail, customer service skills, and experience working with insurance benefits and prior authorizations.

Top Required Skills (Ranked)

1. Insurance Verification / Managed Care Experience Obtaining and interpreting benefits directly from health plans

2. Customer Service Professional communication with patients, providers, and insurers

3. Call Center Experience Handling high-volume inbound calls efficiently

Preferred Skills / Nice to Have

• Prior authorization submission experience

• Pharmacy or medical billing background

• Knowledge of medical terminology

• Experience working with physician offices or specialty medications

• Proficiency in Microsoft Office

Education Requirement

High school diploma or equivalent
(Associate or Bachelor s degree in a related field may substitute for experience)

Certifications

None required

Key Responsibilities

• Verify insurance eligibility and document complete benefit details

• Submit and manage prior authorizations, including gathering required clinical documentation

• Determine patient financial responsibility based on insurance coverage

• Coordinate benefits and ensure assignments of benefits are on file when required

• Bill insurance providers for therapies rendered

• Resolve claim rejections related to eligibility, coverage, or authorization issues

• Identify and coordinate patient assistance programs (e.g., copay cards, third-party assistance)

• Handle inbound calls from patients, provider offices, and insurance companies

• Maintain accurate documentation of all related communications

Performance Expectations

• Manage approximately 25+ referrals per day

• Maintain 95% quality standards or higher

• Strong attendance and reliability are essential

Candidate Requirements

• 1+ year of experience in insurance verification, medical billing, or related healthcare role

• Hands-on experience verifying benefits and/or submitting prior authorizations

• Strong professionalism reflected in resume and communication

Additional Notes

• Candidate must be eligible for W-2 employment

• No Corp-to-Corp (C2C) arrangements

• Must be legally authorized to work in the U.S. without current or future sponsorship

Equal Opportunity Statement

The client is an equal opportunity employer. Employment decisions are made without regard to race, color, religion, sex (including pregnancy and gender identity), national origin, political affiliation, sexual orientation, marital status, disability, genetic information, age, military service, or any other non-merit-based factor.

Job Tags

Contract work, Work at office, Remote work,

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