Insurance Verification Specialist

Pelvic Rehabilitation Medicine; United States; Hybrid; USD 34,000 - 40,000; Full time

Benefits offered by this job

Medical

Vision

Life Insurance

401(k)

Paid Time Off

Paid Holidays

Job summary

Pelvic Rehabilitation Medicine is seeking an Insurance Verification Specialist to verify coverage for new patients, obtain pre-authorizations, and educate patients on financial responsibilities, with emphasis on HIPAA compliance and accurate data entry.

This full-time, hybrid role requires strong phone communication, knowledge of ICD-10 terminology, and collaboration with the billing team to ensure clean claims and smooth patient experiences.

Qualifications

• Previous experience in insurance verification
• Knowledge of medical terminology and coding (ICD-10)
• Familiarity with HIPAA regulations and guidelines
• Proficient in using office software and electronic medical record systems

Responsibilities

• Verify insurance coverage and eligibility for patients
• Review and interpret insurance policies and benefits
• Obtain necessary authorizations for medical procedures
• Communicate with insurance companies to resolve any coverage issues or discrepancies
• Update patient records with accurate insurance information
• Assist patients in understanding their insurance coverage and benefits
• Collaborate with the medical billing team to ensure accurate claims submission
• Additional duties as assigned

Skills

Insurance verification

HIPAA compliance

Tools

EMR systems

Office software

Job description

All Jobs > Insurance Verification Specialist

Full-time

Description

POSITION SUMMARY

The Insurance Verification Specialist verifies insurance coverage and eligibility for new patients and referrals, and updates coverage information for existing patients. This role obtains pre-authorization for services, requiring strong phone communication skills, and helps patients understand their financial responsibility after coverage has been verified. The Insurance Verification Specialist maintains extensive knowledge of out-of-network insurance benefits and applies medical billing experience to support accurate, compliant patient financial discussions.

ESSENTIAL DUTIES & RESPONSIBILITIES

• Verify insurance coverage and eligibility for patients
• Review and interpret insurance policies and benefits
• Obtain necessary authorizations for medical procedures
• Communicate with insurance companies to resolve any coverage issues or discrepancies
• Update patient records with accurate insurance information
• Assist patients in understanding their insurance coverage and benefits
• Collaborate with the medical billing team to ensure accurate claims submission
• Additional duties as assigned

COMPENSATION & BENEFITS Pay Range: $25 $29/hr

HOURS 10 am- 6pm EST

Benefits Offering:

• Medical
• Vision
• Life Insurance
• 401(k)
• Paid Time Off
• Paid Holidays

See PRM full benefits guide with job offer package

Requirements

REQUIRED QUALIFICATIONS

• Previous experience in insurance verification or a related field
• Knowledge of medical terminology and coding (ICD-10)
• Familiarity with HIPAA regulations and guidelines
• Proficient in using office software and electronic medical record systems

PREFERRED QUALIFICATIONS

• Prior experience working in a medical office

KNOWLEDGE, SKILLS & ABILITIES

• Extensive knowledge of out-of-network insurance benefits
• Strong attention to detail and accuracy in data entry
• Excellent communication skills, both written and verbal
• Ability to work independently and as part of a team in a fast-paced environment

PHYSICAL DEMANDS & WORK ENVIRONMENT

This role involves prolonged periods of computer and phone use in an office-based or hybrid setting, with regular use of electronic medical record systems and office software to verify coverage, process authorizations, and document patient insurance information.