Insurance Verification and Authorization Specialist

About the role

Location: Remote in AL, FL, GA, IL, IN, MI, MO, NC, OH, PA, SC, TN, TX, VA

We are seeking a detail-oriented and organized Verification & Authorization Coordinator to join our team remotely. In this role, you will oversee verification and authorization processes to ensure accuracy, compliance, and timely approvals across departments.

Responsibilities

• Coordinate and manage verification processes for documents, transactions, and data to ensure accuracy and compliance with company policies.
• Review and obtain authorizations in accordance with established guidelines and procedures.
• Communicate with internal teams and external partners to resolve discrepancies and obtain necessary information.
• Maintain detailed records of verification and authorization activities for auditing and reporting purposes.
• Identify process improvements to enhance efficiency and reduce errors in verification and authorization workflows.
• Ensure compliance with regulatory requirements and company standards throughout all verification and authorization activities.
• Provide timely updates and reports to management regarding status and issues related to verification and authorization tasks.

Qualifications

• Proven experience in verification, authorization, or related administrative roles.
• Strong attention to detail and organizational skills.
• Excellent communication skills, both written and verbal.
• Ability to work independently in a remote environment and manage multiple priorities.
• Proficiency with office software and database management systems.
• Familiarity with compliance standards and regulatory requirements relevant to the industry.
• Problem-solving skills and the ability to handle sensitive information with discretion.

Requirements

• Customer service and healthcare experience
• High school diploma or GED