Benefits Verification Specialist

Imprimis Group; Dallas (TX); Remote; USD 30,000 - 34,000; Full time

Job summary

Imprimis Group is seeking a Benefits Verification Specialist for a remote, U.S.-based role. The position supports Hospice and Palliative Care Revenue Cycle with a focus on verifying eligibility, coverage, benefits, and patient financial responsibility for in-home hospice services.

Ideal candidates have 3+ years in healthcare insurance verification, familiarity with Medicare/Medicaid and commercial plans, and experience obtaining authorizations.

Qualifications

• 3+ years in healthcare insurance eligibility or benefits verification.
• Experience with Medicare, Medicaid, and/or commercial plans.
• High school diploma or equivalent.
• Experience communicating with insurance payers.
• Prior authorization experience preferred.
• Experience with EMR platforms.

Responsibilities

• Verify insurance eligibility, coverage, benefits and patient financial responsibility.
• Review information and determine steps for verification and authorization.
• Obtain and follow up on insurance authorizations as required.
• Work with Medicare, Medicaid and commercial plans.
• Contact carriers to verify benefits and resolve issues.
• Document authorization and insurance details in the EMR.
• Monitor workflows and ensure items are resolved promptly.
• Handle high volumes with accuracy in a fast-paced setting.
• Collaborate with teammates and adapt to changing priorities.

Skills

Insurance verification

Healthcare experience

Multitasking

Education

High school diploma

Tools

EMR software

Job description

Benefits Verficiation Specialist

Contract to Hire | Remote, Us Based (dfw Preferred)

$22-25/hour + Growth | Amazing Culture & Growth

Imprimis Group is seeking an experienced Benefits Verification Specialist for a healthcare client supporting its Hospice & Palliative Care Revenue Cycle team. This is a 100% remote, temp-to-hire opportunity for an insurance verification professional who thrives in a fast-paced environment and is interested in a long-term career opportunity.

Position Overview:

The Benefits Verification Specialist is responsible for verifying insurance eligibility, coverage, benefits, patient financial responsibility and authorization requirements for patients receiving in-home hospice services.

This is a high-volume, time-sensitive environment where timely verification is critical to helping patients receive care. The ideal candidate has strong hands-on experience with healthcare insurance verification and is comfortable working with Medicare, Medicaid and commercial insurance plans. This role requires someone who can research discrepancies, communicate directly with insurance carriers and take ownership of issues through resolution.

This is a temp-to-hire opportunity with strong long-term potential for someone looking for stability and the opportunity to join an established healthcare team.

Key Responsibilities:

• Verify insurance eligibility, coverage, benefits and patient financial responsibility.
• Review insurance information and determine appropriate next steps for verification and authorization.
• Obtain and follow up on insurance authorizations as required.
• Work with Medicare, Medicaid and commercial insurance plans.
• Contact insurance carriers directly to verify benefits and resolve eligibility or authorization issues.
• Research coverage discrepancies, coordination of benefits and primary/secondary payer information.
• Communicate with internal clinical and operational teams to obtain information needed for authorization and resolve eligibility concerns.
• Accurately document authorization and insurance information within the EMR.
• Monitor assigned electronic workflows and ensure outstanding items are followed through to resolution.
• Manage a high volume of time-sensitive requests while maintaining accuracy and attention to detail.
• Collaborate with team members and assist with changing priorities and workflows as needed.

Qualifications:

• 3+ years of healthcare insurance eligibility and/or benefits verification experience.
• High school diploma or equivalent.
• Experience working with Medicare, Medicaid and/or commercial insurance.
• Experience communicating directly with insurance companies and payer representatives.
• Prior authorization experience strongly preferred.
• Multi-state Medicaid experience is a plus.
• Hospice, home health or healthcare revenue cycle experience is a plus.
• Experience with EMR and insurance eligibility platforms.
• Strong organizational, time-management and multitasking skills.
• Excellent verbal and written communication skills.
• Strong critical-thinking and problem-solving abilities.
• Ability to work independently while contributing to a collaborative remote team.
• Comfortable working in a fast-paced environment with changing payer requirements and priorities.
• Strong interpersonal skills, organization, time management and the ability to maintain concentration in a high-volume, complex environment.

Systems:

Experience with Homecare Homebase (HCHB), Waystar, Availity, Ability or similar healthcare eligibility/EMR platforms is helpful but not required. Candidates with strong insurance verification fundamentals who can quickly learn new systems are encouraged to apply.

What We're Looking For:

We're looking for someone who doesn't stop at the first roadblock. The right candidate will be resourceful, responsive and comfortable asking questions, researching discrepancies and working with insurance representatives to reach a resolution.

This position is especially well suited for someone who enjoys a fast-moving environment, can balance speed with accuracy, adapts well to changing processes and is looking for an opportunity to grow with a team long-term.