Job title: Insurance verification and Authorization coordinator

Schedule: Monday to Friday (8 hours day- PST, hours to be determined)

Job Overview
The Insurance Verification and Authorization Coordinator is responsible for verifying patient insurance coverage, obtaining pre-authorizations, and ensuring accurate documentation for clinical, hospital, and ambulatory surgery center services. This role collaborates with clinical and billing teams to resolve insurance issues, communicate financial responsibilities, and support timely patient care. The ideal candidate has strong experience with Medicare, Medicaid, and commercial plans, excellent attention to detail, and the ability to work independently in a fast-paced, remote healthcare environment.

Tasks and Responsibilities: 

• The medical insurance verification specialist’s job is to verify patient insurance coverage. They work with insurance companies, staff and possibly patients.
• Verify Insurance: for new and existing patients and ensure that information is up to date.
• Obtain authorizations: pre-authorizations for procedures and in office services.
• Answer questions: insurance companies, staff, and possibly patients.
• Resolve issues: Resolve discrepancies with insurance companies and any billing issues.
• Update records: Update patient records (demographics) with verification and authorization details.
• Explain financial responsibilities: explain to staff and/or possibly patient what the financial responsibilities will be.
• Communicate with staff: inform staff about denials or any other related issues.
• Track referrals: Track physician referrals and provide detail to staff.
• Support billing: support staff and medical billing and collaborate with them.

Qualifications: 

• Strong customer service and problem-solving skills and be able to communicate well over the phone

• Must have 2 years' experience in insurance verification, prior authorizations, or medical front-office/billing support

• Strong knowledge of insurance plans, benefits, eligibility verification, and authorization requirements

• Experience working with Medicare, Medicaid, and commercial insurance providers

• Familiarity with payer portals, EHR/EMR systems, and practice management software

• Understanding of CPT, ICD-10, and basic medical terminology

• Excellent attention to detail and accuracy in documenting insurance information

• Strong organizational and time-management skills with the ability to manage multiple requests simultaneously

• Effective communication skills for interacting with patients, providers, and insurance representatives

• Ability to maintain confidentiality and comply with HIPAA regulations

• Ability to work independently and collaboratively in a fast-paced healthcare environment

Independent Contractor Perks
HMO Coverage for eligible locations
Permanent work from home
Immediate hiring
Steady freelance job