Insurance Verification Specialist

Actalent; Chattanooga (TN); Teletrabalho; USD 33 000 - 39 000; Tempo integral

Vantagens oferecidas por esta oferta de emprego

Medical, dental & vision

401(k)

Paid time off

Remote work

Resumo da oferta

Actalent is seeking a contract-to-hire Insurance Verification Specialist to support a remote, fully remote role based out of Chattanooga, TN. The position focuses on verifying benefits, identifying patient financial responsibility, and obtaining prior authorizations for specialty medications and therapies.

The ideal candidate will have experience with EMR documentation, payer communications, and knowledge of various plans (HMO, PPO, Medicare/Medicaid).

Qualificações

• Experience verifying insurance benefits and coverage.
• Ability to identify patient financial responsibility (copays, deductibles, coinsurance).
• Experience with obtaining prior authorizations for specialty meds/therapies.

Responsabilidades

• Verify patients' insurance benefits and coverage.
• Review and identify patient financial responsibility (copays, deductibles, coinsurance).
• Create Insurance Benefit Summaries (IBS) when needed.
• Obtain prior authorizations for specialty medications and therapies.
• Document patient interactions and insurance information in the EMR.
• Communicate with patients, insurance companies, and internal teams to resolve coverage issues.

Conhecimentos

Insurance verification

Prior authorization

EMR documentation

Payer communication

Ferramentas

WeInfuse program

Descrição da oferta de emprego

• Verify patients' insurance benefits and coverage
• Review and identify patient financial responsibility (copays, deductibles, coinsurance)
• Create Insurance Benefit Summaries (IBS) when needed
• Obtain prior authorizations for specialty medications and therapies
• Document patient interactions and insurance information in the EMR
• Communicate with patients, insurance companies, and internal teams to resolve coverage issues
• Verify insurance eligibility through payer websites, electronic systems, or phone calls
• Assist with billing-related processes and other special projects as needed

Schedule

Monday-Friday / 8am-5pm

What You'll Do

• Verify patients' insurance benefits and coverage
• Review and identify patient financial responsibility (copays, deductibles, coinsurance)
• Create Insurance Benefit Summaries (IBS) when needed
• Obtain prior authorizations for specialty medications and therapies
• Document patient interactions and insurance information in the EMR
• Communicate with patients, insurance companies, and internal teams to resolve coverage issues
• Verify insurance eligibility through payer websites, electronic systems, or phone calls
• Assist with billing-related processes and other special projects as needed

Preferred Qualifications

• Reside in Alabama, Tennessee, Ohio, or Virginia (Ideally)
• Experience with the WeInfuse program strongly preferred
• Knowledge of insurance plans such as HMO, PPO, TPA, Medicare, Medicaid, and other government payers preferred
• Previous experience in specialty pharmacy, home infusion, home healthcare, or a related healthcare setting is a plus

Why This Role?

This position is ideal for someone with strong insurance verification and prior authorization experience who enjoys helping patients navigate their healthcare benefits while working in a fast-paced specialty healthcare environment.

Job Type & Location

This is a Contract to Hire position based out of Chattanooga, TN.

Pay And Benefits

The pay range for this position is $24.00 - $28.00/hr.

Individual compensation offered for this position within this range will depend on many factors, including qualifications, skills, relevant experience, job knowledge, geographic location, internal equity, and other pertinent job-related factors.

Eligibility requirements apply to some benefits and may depend on your job classification and length of employment. Benefits are subject to change and may be subject to specific elections, plan, or program terms.

If eligible, the benefits available for this temporary role may include the following: Medical, dental & vision Critical Illness, Accident, and Hospital 401(k) Retirement Plan Pre-tax and Roth post-tax contributions available Life Insurance (Voluntary Life & AD&D for the employee and dependents) Short and long-term disability Health Spending Account (HSA) Transportation benefits Employee Assistance Program Time Off/Leave (PTO, Vacation or Sick Leave)

Workplace Type

This is a fully remote position.

Application Deadline

This position is anticipated to close on Oct 21, 2026.

About Actalent

Actalent is a global leader in engineering and sciences services and talent solutions. We help visionary companies advance their engineering and science initiatives through access to specialized experts who drive scale, innovation and speed to market. With a network of almost 20,000 consultants and 5,000 clients across the U.S., Canada, Asia and Europe, Actalent serves many of the Fortune 500. We are proud to be an Engineering News-Record (ENR) Top 500 Design Firm for our engineering design services and a ClearlyRated Best of Staffing® winner for both client and talent service.

The company is an equal opportunity employer and will consider all applications without regard to race, sex, age, color, religion, national origin, veteran status, disability, sexual orientation, gender identity, genetic information or any characteristic protected by law.

If you would like to request a reasonable accommodation, such as the modification or adjustment of the job application process or interviewing process due to a disability, please email [e-mail] for other accommodation options.

San Francisco Fair Chance Ordinance:

Pursuant to the San Francisco Fair Chance Ordinance, for all positions located in the city and county of San Francisco, we will consider for employment qualified applicants with arrest and conviction records.

Massachusetts Lie Detector:

It is unlawful in Massachusetts to require or administer a lie detector test as a condition of employment or continued employment. An employer who violates this law shall be subject to criminal penalties and civil liability.

Use of Artificial Intelligence (AI):

We may use Artificial Intelligence (AI) to support parts of our hiring process, including sourcing, screening, and evaluating candidates. AI helps assess applications and qualifications, but final decisions are made by our hiring team. By applying, you acknowledge and agree that your application may be reviewed using AI tools.