Insurance Verification & Billing Specialist (Hybrid)

Pathnostics; Irvine (CA); Hybrid; USD 34,000 - 41,000; Full time

Benefits offered by this job

Medical

Dental

Vision

Life/AD&D

FSA/DCA

Pet Insurance

Hybrid schedule

Job summary

Pathnostics in Irvine, CA is seeking an Insurance Verification Specialist to ensure patients gain timely access to care by confirming coverage and eligibility. This role supports the revenue cycle by reducing denials and ensuring compliant claims, working closely with providers, payers, and internal teams in a hybrid schedule.

The ideal candidate brings 1–3 years in insurance verification or related healthcare billing, familiarity with tools like Xifin and Availity, and strong communication and

Qualifications

• 1–3 years of experience in insurance verification or a related admin role.
• Familiarity with payer lines of business and CPT/ICD-10 concepts.
• Excellent written and verbal communication, detail-oriented, and analytical.
• HIPAA compliance and confidentiality awareness.

Responsibilities

• Verify insurance coverage and eligibility for patients in a lab setting.
• Review orders needing benefits investigation for timely processing.
• Confirm patient data is accurate and current.
• Contact carriers via portals or phone to verify benefits and plan type.
• Document payer interactions with reference numbers and outcomes.
• Collaborate with patients, payers, and internal teams to confirm coverage.

Skills

Insurance verification

Healthcare revenue cycle

Analytical skills

Problem-solving

Communication skills

Education

High school diploma

Associate's or Bachelor's degree preferred

Tools

Xifin

Availity

Experian OneSource

Job description

Pathnostics in Irvine, CA is seeking an Insurance Verification Specialist to ensure patients gain timely access to care by confirming coverage and eligibility. This role supports the revenue cycle by reducing denials and ensuring compliant claims, working closely with providers, payers, and internal teams in a hybrid schedule.

The ideal candidate brings 1–3 years in insurance verification or related healthcare billing, familiarity with tools like Xifin and Availity, and strong communication and