Remote Insurance Verification & Authorization Specialist

ACTalent; Atlanta (GA); Remote; USD 22,000 - 31,000; Full time

Benefits offered by this job

Medical, dental & vision

401(k) retirement plan

Transportation benefits

Job summary

ACTalent is seeking an Insurance Verification Coordinator in Atlanta, GA. The role focuses on verifying insurance eligibility and benefits, handling prior authorizations, and supporting patients, providers, and payors to ensure timely access to therapies.

You will document, communicate with insurers, and manage benefits and coordination of benefits. This position is contract-to-hire with a focus on accuracy and high-volume processing.

Qualifications

• 1 year of medical billing or insurance verification experience or a related bachelor’s degree as substitute.
• Experience obtaining insurance benefits directly from health plans and communicating them to patients.
• Experience submitting prior authorizations to payors with required documentation.
• Knowledge of verification, benefit verification, and COB processes.
• Familiarity with Medicare and commercial plans.
• Proficient data entry and documentation in electronic systems.
• Strong customer service and professional communication with patients, providers, and insurers.
• Ability to handle high volume referrals with quality ≥95%.

Responsibilities

• Verify insurance eligibility and benefits; document in the system.
• Submit prior authorizations with necessary documentation from physician offices and insurers.
• Record clinical information (lab values, diagnosis codes) to support decisions.
• Determine patient financial responsibility (copays, coinsurance, deductibles).
• Coordinate benefits on referrals for correct primary/secondary billing.
• Ensure assignments of benefits for Medicare claims per payor requirements.
• Communicate with insurers regarding therapies, benefit clarifications, and claims questions.
• Document all communications with patients, doctors, and insurers; relate to reimbursement and collection.
• Identify patient financial assistance resources (copay cards, third-party programs).
• Handle inbound calls from patients, offices, insurers with clear, courteous information.
• Resolve claim rejections related to eligibility or coverage; escalate as needed.
• Process high-volume referrals daily while maintaining accuracy.

Skills

Medical billing

Insurance verification

Prior authorizations

Data entry

Customer service

Communication with insurers

Detail orientation

Education

High school diploma

Bachelor's degree preferred

Job description

ACTalent is seeking an Insurance Verification Coordinator in Atlanta, GA. The role focuses on verifying insurance eligibility and benefits, handling prior authorizations, and supporting patients, providers, and payors to ensure timely access to therapies.

You will document, communicate with insurers, and manage benefits and coordination of benefits. This position is contract-to-hire with a focus on accuracy and high-volume processing.