Insurance Verification Specialist - 260522

Medix Staffing Solutions, Inc.; New York (NY); On-site; USD 30,000 - 34,000; Full time

Benefits offered by this job

Equipment provided

Job summary

Medix Staffing Solutions, Inc. is seeking an Insurance Verification Specialist to support eligibility and verification ops with a focus on maternal health and OB-GYN workflows.

The role requires hands-on verification experience and familiarity with payer requirements, especially BCBS plans. The ideal candidate will serve as a resource on complex eligibility questions, collaborate with billing and product teams, and help scale verification processes for accurate, timely care coverage.

Qualifications

• Hands-on experience with insurance verification, eligibility, or healthcare revenue cycle operations.
• Strong understanding of real-time eligibility processes.
• Direct experience supporting maternal health, maternal-fetal medicine, or OB/GYN.
• Experience working with multiple Blue Cross Blue Shield plans.

Responsibilities

• Perform and support insurance eligibility and benefits verification.
• Serve as a subject matter resource on real-time eligibility and verification workflows.
• Research complex coverage and eligibility questions.
• Interpret payer-specific requirements and coverage nuances.
• Navigate and understand multiple Blue Cross Blue Shield plans.
• Support verification workflows for maternal health, OB/GYN, and related specialties.
• Identify gaps or inefficiencies within current verification processes.
• Help document and improve insurance verification workflows.
• Partner with billing, revenue cycle, product, and engineering teams.
• Provide real-world eligibility expertise as technology-enabled verification tools are developed and improved.
• Help ensure insurance information is verified accurately and in a timely manner.

Skills

Insurance verification

Eligibility determination

Maternal health / OB-GYN

Payer-specific requirements

Real-time workflow research

Job description

Insurance Verification Specialist – Eligibility & Maternal Health

Contract-to-Hire | $22–$25/hour | Monday–Friday, 9:00 AM–6:00 PM EST

Medix is partnering with a growing healthcare technology company to hire an experienced Insurance Verification Specialist to support the expansion of its insurance eligibility and verification operations.

This opportunity is best suited for someone with strong hands-on insurance verification experience who understands the complexities of payer eligibility and coverage—not simply someone who has worked from a standard verification script.

The team is looking for someone who can serve as a resource on complex eligibility questions, particularly across maternal health / OB-GYN workflows and Blue Cross Blue Shield plans, while also helping improve how insurance verification is performed at scale.

Responsibilities

• Perform and support insurance eligibility and benefits verification
• Serve as a subject matter resource on real-time eligibility and verification workflows
• Research complex coverage and eligibility questions
• Interpret payer-specific requirements and coverage nuances
• Navigate and understand multiple Blue Cross Blue Shield plans
• Support verification workflows for maternal health, OB/GYN, and related specialties
• Identify gaps or inefficiencies within current verification processes
• Help document and improve insurance verification workflows
• Partner with billing, revenue cycle, product, and engineering teams
• Provide real-world eligibility expertise as technology-enabled verification tools are developed and improved
• Help ensure insurance information is verified accurately and in a timely manner

Qualifications

• Previous hands-on experience with insurance verification, eligibility, benefits verification, or healthcare revenue cycle operations
• Strong understanding of real-time insurance eligibility processes
• Direct experience supporting maternal health, maternal-fetal medicine, or OB/GYN
• Experience working with multiple Blue Cross Blue Shield plans
• Strong understanding of payer-specific eligibility and coverage requirements
• Ability to independently research and resolve complex verification scenarios
• Strong communication, documentation, and problem-solving skills

Especially Valuable

• Experience improving or implementing insurance eligibility workflows
• Experience with both front-end and back-end verification processes
• Exposure to healthcare technology or healthtech environments
• Experience collaborating with product, engineering, implementation, or technology teams
• $22–$25/hour
• 800-hour contract-to-hire
• Monday–Friday, 9:00 AM–6:00 PM EST
• Client-provided equipment

If you have strong insurance verification experience and enjoy solving the more complicated eligibility and payer questions, I’d love to connect.