Maternal Health Eligibility Verifier - Complex Cases

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

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.