Insurance Verification Specialist (Prior Authorizations)

United StatesRemote

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Responsibilities

Review deductibles, copays, coinsurance, and patient financial responsibility.
Document all eligibility verification activities accurately and thoroughly.
Maintain accurate records of authorization status and supporting documentation.
Maintain organized documentation within the electronic medical record system.
Maintain strict HIPAA compliance and protect patient confidentiality at all times.

experience working in a U.S. healthcare setting. Hands-on
Experience working with EHR/EMR systems (EasyDerm experience is a plus). Previous
Experience working in a dermatology or other specialty medical practice. Previous
Ability to work independently with minimal supervision.
Ability to thrive in a fast-paced, patient-centered healthcare environment.
Committed to accuracy, efficiency, and delivering high-quality work. Basic
Requirements Must be proficient in speaking and writing English very clearly Must have relevant work
experience Be able to submit an NBI clearance and/or Local Police Clearance background check before onboarding [mandatory] Must be available for video meetings with your camera on (when needed) Technical
Video: Webcam for virtual meetings.

About the Role We are seeking an experienced Insurance Verification Specialist with a strong background in insurance eligibility verification, prior authorizations, and front office support.
This role is ideal for someone who thrives in a fast-paced medical environment, enjoys working with insurance processes, and delivers exceptional patient service over the phone.
experience navigating U.S. insurance portals, verifying patient benefits, obtaining prior authorizations, and supporting front office operations while maintaining the highest level of professionalism and HIPAA compliance. Key
Responsibilities Insurance Eligibility &
Benefits Verification Verify patient insurance eligibility and
Ensure insurance information is accurate and updated within the EHR/EMR.
Prior Authorizations Submit and obtain prior authorizations through insurance portals and payer websites.
Monitor pending authorization requests and follow up with insurance companies as needed.
Ensure patient demographics and insurance information remain complete and accurate.
Support the front office with insurance-related administrative tasks.
experience with insurance eligibility verification and prior authorization processing. Strong understanding of: Commercial insurance plans Deductibles Copays Coinsurance Authorization requirements
Experience using insurance portals and payer websites.
Comfortable managing multiple insurance requests, authorizations, and patient calls simultaneously.

Communicate authorization updates promptly to providers and clinic staff.
Patient Chart Management Create new patient charts and update existing medical records.
Front Office & Patient Support Answer overflow inbound phone calls when the in-office team is unavailable.
Assist patients with general inquiries in a courteous, professional, and empathetic manner.
Route calls appropriately and ensure timely message delivery.
experience handling inbound patient phone calls in a medical office. Excellent English verbal and written communication skills with a professional phone presence. Preferred
experience as a remote Healthcare Virtual Assistant.
Spanish-speaking ability is an advantage but not required.
Desired Skills Exceptional attention to detail and accuracy.
Excellent problem-solving and critical-thinking abilities.