Insurance Verification Coordinator

About the role

This fully remote position supports insurance verification, prior authorizations, and reimbursement coordination for medications and therapies. The role involves verifying insurance eligibility, obtaining prior authorizations, coordinating benefits, and determining patient financial responsibility while working closely with patients, physician offices, and insurance companies to ensure accurate documentation, timely reimbursement, and an excellent patient experience.

Responsibilities

• Verify insurance eligibility, benefits, and coordination of benefits for referrals while maintaining accurate documentation.
• Complete prior authorizations and gather required clinical documentation from physician offices and insurance carriers.
• Communicate patient financial responsibility, including deductibles, copays, and coinsurance, and identify available financial assistance programs.
• Serve as a liaison between patients, provider offices, and insurance companies to resolve coverage, authorization, and reimbursement issues.
• Document all interactions and maintain compliance with billing, reimbursement, and insurance requirements.

Requirements

• 1+ year of experience in insurance verification, medical billing, revenue cycle, or a related healthcare support role.
• Experience obtaining benefits, submitting prior authorizations, and working directly with payors.
• Strong understanding of insurance coverage, eligibility verification, and coordination of benefits.
• Excellent customer service, communication, and problem-solving skills.
• High level of accuracy, attention to detail, and proficiency with data entry.
• High school diploma or equivalent.

Skills

• Experience in a healthcare, specialty pharmacy, or medical office environment.
• Familiarity with diagnosis codes, clinical documentation, and reimbursement processes.
• Ability to manage a high-volume workload while meeting productivity and quality metrics (typically 25+ referrals daily with 95%+ accuracy).
• Strong organizational skills and ability to work effectively in a fast-paced, collaborative environment.

Schedule

Monday through Friday, 12:00 PM to 9:00 PM ET (11:00 AM to 8:00 PM CT).

Pay

The pay range for this position is $18.00 - $18.00/hr. Individual compensation offered within this range will depend on qualifications, skills, relevant experience, job knowledge, geographic location, internal equity, and other pertinent job-related factors.

Benefits

Eligibility requirements apply to some benefits and may depend on job classification and length of employment. If eligible, benefits for this temporary role may include:

• Medical, dental, and vision insurance.
• Critical Illness, Accident, and Hospital coverage.
• 401(k) Retirement Plan – Pre-tax and Roth post-tax contributions available.
• Life Insurance (Voluntary Life & AD&D for the employee and dependents).
• Short and long-term disability.
• Health Spending Account (HSA).
• Transportation benefits.
• Employee Assistance Program.
• Time Off/Leave (PTO, Vacation, or Sick Leave).

Benefits are subject to change and may require specific elections, plan, or program terms.

Work Environment

This is a fully remote, professional, and collaborative role focused on delivering high-quality patient support. Team members process referrals, maintain accuracy standards, and collaborate regularly with patients, provider offices, and insurance plans.

This is a Contract to Hire position based out of Phoenix, AZ.