AI-Driven Insurance Verification Manager

Obsidian; San Francisco (CA); On-site; USD 85,000 - 110,000; Full time

Benefits offered by this job

Contribute to AI system development

Collaborate with a world-class AI research organization

Job summary

Obsidian in San Francisco, California, is looking for experienced Insurance Verification and Eligibility & Benefits Managers to join a leading AI research lab. The role involves overseeing the insurance verification process and managing eligibility determination workflows across various payers.

Ideal candidates will have substantial experience in insurance verification, exceptional EDI knowledge, and the ability to communicate effectively with teams. This is an opportunity to contribute to innovative AI solutions in healthcare.

Qualifications

• 5+ years of experience in insurance verification or front-end revenue cycle operations, with at least 2 years in a management role.
• Expert knowledge of EDI 270/271 transactions and real-time eligibility tools.
• Strong familiarity with Medicare, Medicaid, and commercial payer requirements.

Responsibilities

• Oversee insurance verification and benefits investigation workflows.
• Verify patient insurance coverage using payer portals and EDI transactions.
• Develop and document SOPs for eligibility verification workflows.

Skills

Insurance verification experience

Eligibility and benefits management

Understanding of EDI transactions

Payer portal navigation

Attention to detail

English communication skills

Education

5+ years relevant experience

Management experience

Tools

Epic

Cerner

Meditech

Clearinghouse platforms

Job description

Obsidian in San Francisco, California, is looking for experienced Insurance Verification and Eligibility & Benefits Managers to join a leading AI research lab. The role involves overseeing the insurance verification process and managing eligibility determination workflows across various payers.

Ideal candidates will have substantial experience in insurance verification, exceptional EDI knowledge, and the ability to communicate effectively with teams. This is an opportunity to contribute to innovative AI solutions in healthcare.