Insurance Verification Specialist — Full-Time

Flexzo Ai; New York (NY); Hybrid; USD 42,000 - 48,000; Full time

Job summary

Premier Hematology is seeking an Insurance Verification Specialist to join our team in Queens, NY. This full-time role focuses on confirming insurance coverage and obtaining required authorizations to support the clinical staff.

You will verify coverage before appointments, document details in the EHR, and coordinate with billing and front desk to resolve discrepancies. Strong communication and attention to detail are essential for success in this role.

Qualifications

• Strong attention to detail and organizational skills.
• Excellent phone and written communication skills.
• Experience with EHR/practice management software preferred.

Responsibilities

• Verify patient insurance coverage, eligibility, and benefits prior to appointments and treatment.
• Obtain prior authorizations and referrals required by insurance payers.
• Contact insurance companies to confirm coverage limits, co-pays, deductibles, and out-of-pocket costs.
• Accurately document and update insurance information in the patient record/EHR.
• Coordinate with billing, front desk, and clinical staff to resolve coverage discrepancies.
• Track and follow up on pending authorizations, denials, and appeals.
• Explain insurance benefits and financial responsibilities to patients as needed.

Skills

Attention to detail

Communication skills

Organizational skills

Phone skills

Tools

EHR software

Job description

Premier Hematology is seeking a detail-oriented Insurance Verification Specialist to join our team full-time. In this role, you'll be the first line of defense in making sure our patients' insurance coverage is confirmed and authorized before treatment, so our clinical team can focus on care.

Responsibilities

• Verify patient insurance coverage, eligibility, and benefits prior to appointments and treatment
• Obtain prior authorizations and referrals required by insurance payers
• Contact insurance companies to confirm coverage limits, co-pays, deductibles, and out-of-pocket costs
• Accurately document and update insurance information in the patient record/EHR
• Coordinate with billing, front desk, and clinical staff to resolve coverage discrepancies
• Track and follow up on pending authorizations, denials, and appeals
• Explain insurance benefits and financial responsibilities to patients as needed

Qualifications

• Prior experience in insurance verification, medical billing, or healthcare administration (specialty/oncology practice experience a plus)
• Working knowledge of major insurance payers, prior authorization, and referral processes
• Strong attention to detail and organizational skills
• Excellent phone and written communication skills
• Experience with EHR/practice management software preferred

Schedule: Full-time, Monday–Friday

Pay: $20–$23 per hour, based on experience

Location: Queens, NY (on-site/hybrid/remote)