The Insurance Verification Specialist ensures patient readiness through eligibility verification, authorizations, and financial responsibility assessment, while collaborating with internal teams.
This is a remote position.
Only LATAM-based candidates (bilingual in Spanish and English)
We are seeking an experienced Insurance Verification & Authorization Specialist to support a busy U.S.-based medical practice. This role plays a critical part in daily operations by ensuring next-day patient readiness, accurate insurance verification, timely authorizations, and a smooth patient financial experience.
The ideal candidate is detail-oriented, proactive, and comfortable working in a fast-paced medical environment while collaborating closely with on-site teams.
Contract: Service Provision- Independant Contractor
Key Responsibilities
- Perform insurance eligibility and benefits verification for next-day patients across multiple carriers
- Confirm active coverage and accurately determine patient financial responsibility (copays, deductibles, coinsurance) for visits, procedures, and treatments
- Obtain referrals and prior authorizations from primary care physicians and insurance companies
- Navigate and utilize health plan portals and insurance platforms efficiently
- Collect payments for telehealth visits when applicable
- Communicate effectively with internal teams to ensure patient readiness and prevent delays, denials, or cancellations
- Support general administrative and office-related duties as needed
- Work collaboratively with other insurance verification specialists and on-site staff
Requirements
- Minimum 1 year of experience in insurance verification within a medical office
- Proven experience with referrals and prior authorization processes
- Strong understanding of medical terminology, including CPT codes
- Hands-on experience with insurance portals and verification platforms
- Excellent attention to detail and ability to meet daily deadlines
- Ability to learn quickly and adapt in a fast-paced environment
- Strong teamwork skills and professional communication style
- Customer service–oriented mindset
Preferred Qualifications:
- Experience working with Rheumatology practices
- Familiarity with Medicare, Medicare Advantage, and commercial plans
- Bilingual proficiency in English and Spanish
- Previous experience working remotely with U.S.-based medical offices
Benefits
- 100% Remote
- Weekends OFF
- Stable, long-term opportunity with a growing healthcare support company
- Competitive compensation based on experience
- Structured onboarding and ongoing support
- Opportunity for professional growth and increased responsibilities based on performance
- Collaborative and respectful remote work environment
Similar Jobs
Healthtech • Insurance • Financial Services
The Insurance Verification Specialist ensures accurate dental insurance verifications, manages client systems, and supports customer communication regarding verifications.
Top Skills:
Google SuiteMS OfficePractice Management Solutions
Healthtech • Software
Perform evidence-based utilization management reviews, prepare compliant member and provider correspondence, consult with Medical Directors, document clinical determinations, ensure NCQA/CMS regulatory compliance, meet productivity and turnaround targets, support verbal notifications, and drive process improvements.
Top Skills:
Google SuitemacOSZoom
Healthtech • Software
Provide evidence-based medical utilization reviews for orthopedic spine cases, document decisions in Cohere workflows, conduct peer-to-peer provider discussions, meet turnaround and quality standards, and support clinical and operational improvement projects.
What you need to know about the Colorado Tech Scene
With a business-friendly climate and research universities like CU Boulder and Colorado State, Colorado has made a name for itself as a startup ecosystem. The state boasts a skilled workforce and high quality of life thanks to its affordable housing, vibrant cultural scene and unparalleled opportunities for outdoor recreation. Colorado is also home to the National Renewable Energy Laboratory, helping cement its status as a hub for renewable energy innovation.
Key Facts About Colorado Tech
- Number of Tech Workers: 260,000; 8.5% of overall workforce (2024 CompTIA survey)
- Major Tech Employers: Lockheed Martin, Century Link, Comcast, BAE Systems, Level 3
- Key Industries: Software, artificial intelligence, aerospace, e-commerce, fintech, healthtech
- Funding Landscape: $4.9 billion in VC funding in 2024 (Pitchbook)
- Notable Investors: Access Venture Partners, Ridgeline Ventures, Techstars, Blackhorn Ventures
- Research Centers and Universities: Colorado School of Mines, University of Colorado Boulder, University of Denver, Colorado State University, Mesa Laboratory, Space Science Institute, National Center for Atmospheric Research, National Renewable Energy Laboratory, Gottlieb Institute
