Patient Insurance Verification & Authorization Specialist (Healthcare)

BruntWork

Colombia

Remote

COP 129,798,000 - 194,698,000

Full time

5 days ago
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Benefits offered by this job

Permanent work from home
Health insurance on eligible locations

Job summary

BruntWork is seeking a detail-oriented Patient Insurance Verification & Authorization Specialist to manage verification, eligibility, authorizations, and reverification across multiple healthcare locations. You will ensure patients are cleared before appointments, maintain records, and collaborate with front desk, scheduling, and billing to prevent delays and denials.

This fast-paced, remote role requires strong insurance knowledge, organization, and proactive follow-up while maintaining patient

Qualifications

  • 2+ years in medical insurance verification or related fields.
  • Experience with EHR/EMR and referral management.
  • Strong attention to detail and time management.
  • Excellent written and verbal communication.
  • Ability to work in high-volume environments and meet deadlines.

Responsibilities

  • Verify patient insurance eligibility, coverage, benefits, copays, deductibles, and in/out-of-network status.
  • Confirm patient demographics and guarantor information and resolve discrepancies.
  • Review referrals and scheduling worklists to identify appointments requiring prior authorization.
  • Confirm, track, and document required authorizations and promptly elevate missing or pending approvals.
  • Reverify insurance coverage regularly and before appointments to identify changes or outdated information.
  • Manage assigned patients from initial verification through appointment clearance.
  • Maintain accurate eligibility, authorization, referral, and patient information in relevant systems.
  • Coordinate with front desk and scheduling teams to resolve missing information and insurance issues.
  • Support billing teams by identifying verification or authorization issues that could contribute to claim denials.
  • Provide overflow phone support and respond professionally to patient and internal inquiries regarding insurance and financial expectations.
  • Maintain patient confidentiality and follow established healthcare workflows and compliance requirements.
  • Identify recurring issues and communicate trends that may contribute to front-end errors or claim denials.

Skills

Attention to detail
Time management
Communication skills
Problem-solving
Organization
Multitasking

Tools

EHR/EMR systems
Verification portals

Job description

We are seeking a detail-oriented Patient Insurance Verification & Authorization Specialist to manage patient insurance verification, eligibility, authorization, and reverification across multiple healthcare locations. You’ll ensure patients are properly cleared before appointments, maintain accurate records, and work closely with front desk, scheduling, and billing teams to prevent delays and claim denials.

This is a fast-paced, high-volume role requiring strong insurance knowledge, organization, accuracy, and proactive follow-up.

Schedule:
  • Monday to Thursday, 9:00 am to 5:00 pm and Friday, 9:00 am to 3:00 pm (US Eastern Time, 38 hours per week)
Responsibilities:
  • Verify patient insurance eligibility, coverage, benefits, copays, deductibles, and in/out-of-network status.
  • Confirm patient demographics and guarantor information and resolve discrepancies.
  • Review referrals and scheduling worklists to identify appointments requiring prior authorization.
  • Confirm, track, and document required authorizations and promptly elevate missing or pending approvals.
  • Reverify insurance coverage regularly and before appointments to identify changes, lapses, or outdated information.
  • Manage assigned patients from initial verification through appointment clearance.
  • Maintain accurate eligibility, authorization, referral, and patient information in relevant systems.
  • Coordinate with front desk and scheduling teams to resolve missing information and insurance issues.
  • Support billing teams by identifying verification or authorization issues that could contribute to claim denials.
  • Provide overflow phone support and respond professionally to patient and internal inquiries regarding insurance and financial expectations.
  • Maintain patient confidentiality and follow established healthcare workflows and compliance requirements.
  • Identify recurring issues and communicate trends that may contribute to front-end errors or claim denials.
Requirements:
  • 2+ years of experience in medical insurance verification, patient intake, healthcare administration, or revenue cycle management preferred.
  • Strong understanding of insurance eligibility, benefits, authorizations, copays, deductibles, and coverage requirements.
  • Experience using medical insurance portals and verification systems.
  • Experience with EHR/EMR, referral, or patient management systems preferred.
  • Excellent attention to detail, accuracy, organization, and time management.
  • Strong written and verbal communication skills.
  • Ability to manage high-volume workloads, multiple priorities, and strict deadlines.
  • Proactive problem-solving skills with the ability to identify and resolve issues before they affect appointments or claims.
  • Ability to work independently while collaborating effectively with front desk, scheduling, billing, and management teams.
  • Strong understanding of patient confidentiality and appropriate handling of sensitive healthcare information.
  • Reliable, proactive, and comfortable working in a fast-paced environment.
Key Performance Expectations:
  • Complete insurance verification and authorization within required turnaround times.
  • Keep eligibility, authorization, and patient records accurate and up to date.
  • Complete scheduled insurance reverification consistently.
  • Identify and elevate issues before they cause appointment delays or claim denials.
  • Support clean claims by reducing front-end eligibility and authorization errors.
  • Maintain clear and timely communication with patients and internal teams.
  • Permanent work from home
  • Immediate hiring
  • Health Insurance Coverage for eligible locations
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