Insurance Verification Specialist (Hybrid)

Pathnostics; Irvine (CA); Hybrid; USD 34,000 - 41,000; Full time

Benefits offered by this job

Medical

Dental

Vision

Life/AD&D

FSA/DCA

Pet Insurance

Hybrid schedule

Job summary

Pathnostics in Irvine, CA is seeking an Insurance Verification Specialist to ensure patients gain timely access to care by confirming coverage and eligibility. This role supports the revenue cycle by reducing denials and ensuring compliant claims, working closely with providers, payers, and internal teams in a hybrid schedule.

The ideal candidate brings 1–3 years in insurance verification or related healthcare billing, familiarity with tools like Xifin and Availity, and strong communication and

Qualifications

• 1–3 years of experience in insurance verification or a related admin role.
• Familiarity with payer lines of business and CPT/ICD-10 concepts.
• Excellent written and verbal communication, detail-oriented, and analytical.
• HIPAA compliance and confidentiality awareness.

Responsibilities

• Verify insurance coverage and eligibility for patients in a lab setting.
• Review orders needing benefits investigation for timely processing.
• Confirm patient data is accurate and current.
• Contact carriers via portals or phone to verify benefits and plan type.
• Document payer interactions with reference numbers and outcomes.
• Collaborate with patients, payers, and internal teams to confirm coverage.

Skills

Insurance verification

Healthcare revenue cycle

Analytical skills

Problem-solving

Communication skills

Education

High school diploma

Associate's or Bachelor's degree preferred

Tools

Xifin

Availity

Experian OneSource

Job description

If you are unable to complete this application due to a disability, contact this employer to ask for an accommodation or an alternative application process.

Insurance Verification Specialist (Hybrid)

Full Time Clerical Irvine, CA, Irvine, CA, US

6 days ago Requisition ID: 1353

Salary Range: $25.00 To $30.00 Hourly

Billing Specialist I, Insurance Verification | Pathnostics | Hybrid – Irvine, CA

Join Us in Moving Care Forward

Pathnostics is an innovative molecular diagnostics laboratory dedicated to improving patient outcomes through precision testing and science-driven insights. We're excited to bring on a newInsurance Verification Specialist to our revenue cycle team in Irvine, CA. This is a great opportunity to build your career with a company that's re-shaping the standard of care.

What We Offer

• $25.00 to $30.00 per hour, DOE
• Medical, Dental, Vision, Life/AD&D, and a portfolio of voluntary benefits including FSA/DCA and Pet Insurance
• Hybrid Schedule, Tuesday - Saturday, 6:00 AM - 2:30 PM
• Supportive team environment with employee events planned throughout the year

About the Role

As a Billing Specialist I, you'll play a key role in making sure patients get timely access to care by accurately verifying insurance coverage and eligibility. You'll work closely with insurance providers, patients, clients, and internal teams to resolve coverage issues, reduce eligibility-related denials, and keep claims compliant with payer and Medicare requirements. Your work directly supports both patient experience and successful billing operations.

What You'll Do

• Verify insurance coverage and eligibility for patients in a laboratory setting
• Review and prioritize incoming orders requiring benefits investigation for timely processing
• Confirm patient insurance information is accurate, complete, and current
• Contact insurance carriers via provider portals and phone to verify eligibility, benefits, and plan type/line of business
• Document all payer interactions clearly and accurately, including reference numbers and outcomes
• Review accounts to ensure insurance, demographic, and eligibility data is entered correctly, resolving issues as they arise
• Partner with clients, payers, patients, and internal stakeholders to confirm coverage details with excellent customer service
• Maintain strict confidentiality and HIPAA compliance in all work

What You Bring

• 1–3 years of experience in insurance verification, medical billing, healthcare revenue cycle, patient financial services, claims processing, or a related administrative role (lab setting experience a plus)
• Familiarity with eligibility tools and computerized billing systems; experience with Xifin, Availity, and/or Experian OneSource is a plus
• Understanding of payer lines of business (Medicare, Medicare Advantage, commercial, Medicaid) and how they affect claim routing
• Working knowledge of CPT and ICD-10 coding
• Strong analytical, problem-solving, and organizational skills with high attention to detail
• Excellent written and verbal communication skills
• Ability to manage a high volume of work independently and as part of a collaborative team
• High school diploma or equivalent required; associate's or bachelor's degree preferred

Why Pathnostics?

We're a growing molecular diagnostics company where your contributions have real impact on patients, providers, and the push toward personalized treatment options for patients in need. We're committed to building diverse, inclusive teams and offering opportunities to grow your career as we grow our operations.

Pathnostics is an equal opportunity employer and an E-Verify employer.