Insurance Verification & Patient Access Specialist

Ideal Option; United States; Remote; USD 36,000 - 54,000; Full time

Job summary

The Blue Venture Fund is seeking an Insurance Verification Representative to deliver exceptional patient service while validating insurance coverage and benefits. The role supports patient experience by assisting with account creation, appointment scheduling, and benefit communication.

Responsibilities include verifying coverage through payer portals, documenting details, and communicating financial obligations.

Qualifications

• High School Diploma or GED required.
• Experience with medical insurance verification preferred.
• Familiarity with HIPAA and privacy standards is expected.

Responsibilities

• Verify patient insurance coverage and benefits through payer portals and Experian.
• Accurately process new and established patient accounts within required timeframes.
• Review and document insurance benefits, coverage limitations, copays, deductibles, and estimated patient costs.
• Notify patients of coverage issues and financial responsibilities.
• Schedule new patient appointments and assist with account-related questions.
• Communicate with patients through approved methods, including Artera.
• Direct patients to Financial Counseling for financial hardship and payment plan options when appropriate.
• Maintain accurate documentation, including insurance verification and patient communications.
• Utilize eClinicalWorks (eCW), Outlook, Microsoft Teams, Experian, Artera, and other department systems as required.
• Comply with HIPAA, 42 CFR Part 2, and other applicable privacy requirements.
• Maintain knowledge of insurance and billing requirements.
• Meet productivity, attendance, and performance expectations.
• Work collaboratively with team members and represent Ideal Option professionally.
• Perform other duties as assigned.

Skills

Verbal communication

Written communication

Customer service

Attention to detail

Multitasking

Navigate computer systems

EHR/healthcare processes

Education

High School Diploma or GED

AA or equivalent experience

Tools

Microsoft Outlook

Microsoft Teams

eClinicalWorks (eCW)

Experian

Artera

Job description

The Blue Venture Fund is seeking an Insurance Verification Representative to deliver exceptional patient service while validating insurance coverage and benefits. The role supports patient experience by assisting with account creation, appointment scheduling, and benefit communication.

Responsibilities include verifying coverage through payer portals, documenting details, and communicating financial obligations.