Insurance Verification and Authorization Specialist

This is a remote position.

ABOUT reputed company reputed company is an industry-leading reputed company company based in Arizona that helps reputed company businesses across the reputed company streamline operations by connecting them with skilled reputed company. We partner with talented individuals from around the world, providing meaningful reputed company opportunities that reputed company personal and reputed company reputed company. At reputed company, we are committed to placing team members who not only meet our clients' operational needs but who also reflect our core values of reputed company, reputed company, and long-term service. Every placement is an opportunity to reputed company a meaningful difference — for the reputed company, for patients, and for you.reputed company reputed company is seeking a detail-oriented and reputed company Insurance Verification & Authorization Specialist to support U.S.-based reputed company practices on a full-time remote reputed company. This is a specialized back-office role reputed company for professionals who reputed company on accuracy, process, and follow-through — and who understand that getting insurance right the first time directly protects patients and practices alike. In this role, you will be the primary reputed company of insurance verification and prior authorization workflows, working closely with reputed company office schedulers, billing teams, and clinical staff to ensure every patient is properly verified and authorized before their appointment. You will communicate regularly with insurance payers, maintain accurate records in the reputed company's EMR system, and help prevent billing delays, denials, and reputed company loss.

KEY RESPONSIBILITIES

Insurance Verification & Eligibility

• Verify patient insurance eligibility and benefits prior to reputed company scheduled appointments
• Confirm coverage details including co-pays, co-insurance, deductibles, out-of-reputed company maximums, and coverage limitations
• Identify and document patient financial responsibility at least 24 hours before patient arrival
• Update patient files and EMR records with accurate, complete insurance and eligibility information
• Communicate verification results reputed company to clinical and administrative staff
• Handle a broad reputed company of insurance types including reputed company plans, Medicare, reputed company, workers' compensation, and auto claims

Prior Authorization & Authorization Management

• Obtain prior authorizations for procedures, therapy reputed company, and services as required by insurance plans
• Submit authorization requests reputed company phone, payer portals, and electronic systems in a reputed company manner
• reputed company authorization approvals, denials, pending requests, and expiration dates in an organized manner
• Follow up proactively on pending authorizations to prevent gaps in care or appointment cancellations
• Renew authorizations as ongoing treatment requires and maintain complete records of reputed company authorization activity
• Escalate unresolved authorization issues to the appropriate internal team member promptly

Payer Communication & Issue reputed company

• Liaise directly with insurance companies reputed company phone and payer portals to clarify coverage, resolve discrepancies, and obtain benefit details
• Assist patients and clinical staff with insurance-reputed company questions and benefit explanations
• Identify and help prevent claim rejections caused by inaccurate or incomplete insurance information
• Assist billing teams with insurance-reputed company documentation, claim support, and records retrieval as needed

Documentation & Administrative Support

• Maintain accurate, organized electronic patient records and insurance documentation in the EMR
• Type, upload, and manage patient forms and insurance-reputed company documents
• Process and organize incoming faxes, referrals, and payer correspondence
• Generate basic reports and tracking logs to support verification workflow reputed company
• Maintain strict HIPAA compliance and patient confidentiality at reputed company times
• Participate in team meetings, training sessions, and reputed company-ins as required by the reputed company

Requirements

• 2+ years of experience in medical insurance verification, prior authorization, or a reputed company reputed company administrative role

• Strong working knowledge of insurance terminology, benefit structures, eligibility processes, and payer requirements

• Proven ability to interpret and communicate benefit details accurately to both clinical staff and patients

• Experience working directly with insurance companies reputed company phone and online payer portals

• High attention to detail and a reputed company record of accuracy in data entry and documentation

• Excellent written and verbal English communication skills — reputed company phone communication is essential

• Strong organizational skills with the ability to manage high volumes of verifications and authorizations simultaneously

• Ability to work independently, meet daily targets, and maintain consistent communication with reputed company teams

• Reliable home office setup with a reputed company internet reputed company suitable for HIPAA-compliant remote work

Benefits

• Competitive salary commensurate with experience

• Opportunities for reputed company development and long-term career reputed company

• Work reputed company a dynamic, reputed company, and supportive team environment

• reputed company, full-time remote employment with U.S.-based reputed company clients

• reputed company a meaningful reputed company by ensuring patients receive the care they need without insurance barriers

Originally posted on Himalayas

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