Insurance Verification Specialist

Location: Phoenix, AZ 85016

Industry: Healthcare / Revenue Cycle

About the role

The Insurance Verification Specialist is responsible for verifying patient insurance coverage and eligibility, primarily for high-cost retina injections. This role requires strong attention to detail, the ability to handle high-volume workflows, and clear communication with patients regarding benefits and financial responsibility.

Responsibilities

• Verify patient insurance coverage and eligibility for ongoing retina treatments
• Obtain required pre-authorizations and referrals
• Process and manage 100+ insurance verifications per day in a fast-paced environment
• Utilize NextGen EMR to update and maintain accurate patient insurance information
• Work with a variety of payers including Medicare, Medicaid, AHCCCS, BCBS, and Cigna
• Clearly explain copays, coinsurance, and deductibles to patients
• Ensure accuracy to support billing and overall revenue cycle operations

Qualifications

• Minimum 1+ year of insurance verification experience
• Experience handling high-volume workloads (100+ verifications/day preferred)
• Knowledge of government and commercial insurance, including AZ-specific plans (AHCCCS)
• Experience working within payer portals

Benefits

• Medical, dental, and vision coverage
• 401(k)
• Paid holidays and plus PTO
• Friendly, close-knit team environment with strong collaboration
• Hands-on training and mentorship during onboarding
• Opportunity to grow within a specialized healthcare field
• Exposure to high-value treatments and advanced billing processes

Pay

$19.00 – $21.00 / hour

Schedule

Stable schedule with no weekends required