Outpatient Insurance & Eligibility Specialist

Green Key Resources; United States; Remote; USD 25,000 - 44,000; Full time

Job summary

Green Key Resources is partnering with a leading healthcare organization to fill Outpatient Insurance & Eligibility Specialist / Patient Financial Services Representative roles. This fully remote contract position lasts 8 months with 2 openings.

Compensation is based on experience. Ideal candidates have experience in healthcare revenue cycle, insurance eligibility verification, patient registration or medical billing, and are adept at handling confidential PHI while delivering clear, empathetic

Qualifications

• High school diploma or equivalent.
• Prior experience in healthcare revenue cycle management, patient financial services, patient registration, medical billing, or insurance eligibility.
• Experience using payer portals to verify insurance eligibility and benefits is required.
• Strong attention to detail and ability to accurately interpret insurance information.
• Excellent written and verbal communication skills.
• Strong customer service skills, with the ability to explain insurance and billing information clearly.
• Ability to handle confidential patient information with discretion.
• Strong organizational skills and ability to prioritize multiple requests while meeting deadlines.
• Working knowledge of Microsoft Office and electronic health record or practice management systems.

Responsibilities

• Verify patient insurance coverage, eligibility, benefits, and coordination of benefits.
• Research payer and carrier information through insurance portals and clearinghouse systems.
• Update insurance information and carrier records accurately and promptly.
• Review copays, deductibles, cost-sharing, and coverage information.
• Support billing, registration, coding, and other revenue cycle teams with insurance-related questions.
• Respond to patient and internal inquiries in a clear, professional, and empathetic manner.
• Research patient accounts and accurately document findings, follow‑up actions, and account activity.
• Protect PHI and other confidential patient information.
• Manage assigned work queues and complete requests within established turnaround times.

Skills

Attention to detail

Communication skills

Customer service

Multitasking

Discretion with PHI

Organization

Education

High school diploma or equivalent

RCM certification (CRCR/CPB/RHIT)

Tools

Microsoft Office

Electronic health record or practice management system

Job description

Outpatient Insurance & Eligibility Specialist / Patient Financial Services Representative

Position Type: Contract

Duration: 8 months

Schedule: Remote

Openings: 2

Compensation: Based on experience

Green Key Resources is working with a leading healthcare organization to fill Outpatient Insurance & Eligibility Specialists / Patient Financial Services Representatives (PFS) roles to support their revenue cycle operations.

This is a fully remote opportunity for professionals with experience in healthcare revenue cycle, patient financial services, insurance eligibility, billing, or related areas.

Key Responsibilities

• Verify patient insurance coverage, eligibility, benefits, and coordination of benefits.
• Research payer and carrier information through insurance portals and clearinghouse systems.
• Update insurance information and carrier records accurately and promptly.
• Review copays, deductibles, cost-sharing, and coverage information.
• Support billing, registration, coding, and other revenue cycle teams with insurance-related questions.
• Respond to patient and internal inquiries in a clear, professional, and empathetic manner.
• Research patient accounts and accurately document findings, follow‑up actions, and account activity.
• Protect PHI and other confidential patient information.
• Manage assigned work queues and complete requests within established turnaround times.

Required Qualifications

• High school diploma or equivalent.
• Prior experience in healthcare revenue cycle management, patient financial services, patient registration, medical billing, or insurance eligibility.
• Experience using payer portals to verify insurance eligibility and benefits is required.
• Strong attention to detail and ability to accurately interpret insurance information.
• Excellent written and verbal communication skills.
• Strong customer service skills, with the ability to explain insurance and billing information clearly.
• Ability to handle confidential patient information with discretion.
• Strong organizational skills and ability to prioritize multiple requests while meeting deadlines.
• Working knowledge of Microsoft Office and electronic health record or practice management systems.

Preferred Qualifications

• 3+ years of healthcare RCM or patient financial services experience.
• Experience with cost-sharing estimates, payer follow‑up, claim‑related research, or clearinghouse systems.
• Experience supporting medical billing, coding, or virtual back‑office teams.
• RCM-related certification or education such as CRCR, CPB, RHIT, or an associate degree in Health Information Management.

Ideal Backgrounds

Candidates with titles such as Insurance & Eligibility Specialist, Patient Financial Services Representative, Patient Access Representative, Revenue Cycle Specialist, Medical Billing Specialist, Insurance Verification Specialist, or similar may be a strong fit.

If you have hands‑on experience verifying insurance benefits and working within a healthcare revenue cycle environment, we'd be interested in speaking with you.