Remote Healthcare Insurance Verification Specialist

Remote Jobs; Charleston (SC); Remote; USD 22,000 - 25,000; Full time

Benefits offered by this job

Paid training

Medical, Dental, Life, Vision, HSA, 4-

401K

7 Paid Holidays

6 PTO days

Equipment provided

Job summary

Imagenet is seeking a Healthcare Customer Service Representative for a 100% remote full-time role. You will verify insurance eligibility, maintain patient data in the EHR, and document benefits while delivering excellent customer service over the phone.

Monday–Friday scheduling, with a focus on accuracy and HIPAA compliance. Ideal candidates have 1–2 years in healthcare call centers or administration, familiarity with payer portals, and strong communication skills.

Qualifications

• 1-2 years of experience in a healthcare call center or healthcare administration (insurance verification, patient registration, or medical billing)
• Familiarity with health insurance terminology: copay, deductible, coinsurance, HMO, PPO, subscriber
• Basic understanding of government-sponsored plans (Medicaid and Medicare) and their differences
• Proficient in navigating healthcare systems; experience with EHRs preferred
• Demonstrated excellence in customer service and client interaction
• Clear and professional communication skills
• Must successfully pass a criminal background check

Responsibilities

• Verify insurance eligibility and benefits using payer portals, phone calls, and verification tools
• Update and maintain patient demographic and insurance data in the Electronic Health Record (EHR) system
• Document key benefit details including copayments, deductibles, coinsurance, and out-of-pocket maximums
• Communicate with patients to clarify insurance coverage and respond to basic inquiries
• Collaborate with clinical and billing teams regarding eligibility and authorization status
• Identify and resolve discrepancies in insurance information; identify complex cases as needed
• Maintain compliance with HIPAA and patient privacy regulations
• Verify insurance eligibility and benefits using payer portals, phone calls, and verification tools
• Update and maintain patient demographic and insurance data in the Electronic Health Record (EHR) system
• Update and maintain patient demographic and insurance data in internal systems
• Document benefit details: copayments, deductibles, coinsurance, out-of-pocket maximums
• Communicate clearly and professionally with patients regarding coverage
• Collaborate with internal teams to resolve discrepancies and elevate complex cases
• Ensure compliance with HIPAA and privacy regulations

Skills

Customer service

Healthcare experience

HIPAA compliance

Communication

Criminal background check

Tools

EHR systems

Payer portals

Job description

Imagenet is seeking a Healthcare Customer Service Representative for a 100% remote full-time role. You will verify insurance eligibility, maintain patient data in the EHR, and document benefits while delivering excellent customer service over the phone.

Monday–Friday scheduling, with a focus on accuracy and HIPAA compliance. Ideal candidates have 1–2 years in healthcare call centers or administration, familiarity with payer portals, and strong communication skills.