Benefits Verification Specialist

Equiliem; North Carolina; Remote; USD 40,000 - 60,000; Full time

Job summary

A leading company is seeking a detail-oriented Benefits Verification Specialist for a fully remote, contract position. The role involves verifying insurance coverage and maintaining benefit records to ensure patient access to healthcare services. Strong communication skills and relevant experience are crucial for success in this role.

Qualifications

• 2+ years of experience in benefits verification or healthcare.
• Strong verbal and written communication skills required.
• Experience with healthcare payers or insurance systems preferred.

Responsibilities

• Verify patient insurance coverage and document benefit details.
• Determine coverage levels, cost-sharing, and provider access.
• Assist with prior authorizations or claims appeals as needed.

Skills

Communication

Attention to Detail

Problem-Solving

Critical Thinking

Education

High school diploma or GED

Associate's degree or relevant certification

Tools

Microsoft Office (Outlook, Word, Excel)

Job description

Job Title: Benefits Verification Specialist (Remote, Contract Role)

Position Overview:

We are seeking a detail-oriented and reliable Benefits Verification Specialist for a fully remote, contract opportunity. In this role, you'll be responsible for verifying patient-specific insurance coverage and documenting benefit details to support patient access to healthcare services. This is an excellent role for someone with strong communication skills and a background in healthcare, customer service, or administrative support.

Key Responsibilities:

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  Verify patient insurance coverage by contacting payers and documenting benefit details

  
  


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  Determine coverage levels, cost-sharing, and provider access options

  
  


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  Identify restrictions or additional steps required to expedite patient access

  
  


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  Enter and maintain accurate records of benefit information

  
  


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  Assist with prior authorizations or claims appeals, as needed

  
  


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  Triage cases missing information to appropriate team members

  
  


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  Perform quality checks on completed work to ensure accuracy

  
  


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  Communicate trends or delays in reimbursement processes to management

  
  

Qualifications:

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  High school diploma or GED required; associate's degree or relevant certification a plus

  
  


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  2+ years of experience in benefits verification, healthcare, insurance, administrative support, or customer service (education may substitute for experience)

  
  


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  Strong verbal and written communication skills

  
  


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  Proficiency in Microsoft Office (Outlook, Word, Excel)

  
  


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  Excellent attention to detail, critical thinking, and problem-solving abilities

  
  


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  Ability to work independently in a fast-paced, remote environment

  
  


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  Experience with healthcare payers or insurance systems is preferred
  
  #ZR