Fully Remote Insurance Verification Specialist

Ideal Option PLLC; United States; Remote; USD 42,000 - 56,000; Full time

Job summary

Ideal Option PLLC is seeking an Insurance Verification Representative to work in a fully remote capacity. The role focuses on verifying insurance coverage, processing patient accounts, and communicating clearly with patients about their benefits and costs.

You will use multiple systems including eClinicalWorks, Outlook, Teams, Experian and Artera to ensure accurate information and a smooth patient experience. HIPAA and privacy compliance are essential throughout all activities.

Qualifications

• High School Diploma or GED required.
• 1 year of customer service experience.
• 1 year of medical insurance verification experience.
• Experience with Microsoft Office applications (Outlook/Teams) preferred.

Responsibilities

• Verify patient insurance coverage and benefits through payer portals and Experian.
• Process new and established patient accounts within required timeframes.
• Review and document insurance benefits, copays, deductibles, and estimated patient costs.
• Notify patients of coverage issues and financial responsibilities.
• Schedule new patient appointments and assist with account questions.
• Communicate with patients using approved methods including Artera.
• Refer patients to Financial Counseling for hardship options when appropriate.
• Maintain accurate documentation of insurance verifications and communications.
• Utilize eClinicalWorks, Outlook, Teams, Experian, Artera and other systems as required.
• Comply with HIPAA and privacy requirements.

Skills

Communication skills

Customer service

Attention to detail

Multitasking

Computer navigation

MS Office (Outlook/Teams)

HIPAA compliance

Education

High School Diploma or GED

AA or Equivalent Experience

Tools

Outlook

Teams

eClinicalWorks (eCW)

Experian

Artera

Job description

Ideal Option PLLC is seeking an Insurance Verification Representative to work in a fully remote capacity. The role focuses on verifying insurance coverage, processing patient accounts, and communicating clearly with patients about their benefits and costs.

You will use multiple systems including eClinicalWorks, Outlook, Teams, Experian and Artera to ensure accurate information and a smooth patient experience. HIPAA and privacy compliance are essential throughout all activities.