Remote Insurance Verification & Authorization Specialist

Actalent; Houston (TX); Remote; USD 22,000 - 31,000; Full time

Job summary

Actalent is seeking an Insurance Verification Coordinator to verify eligibility, benefits, and prior authorizations for medications and services. The role supports patients, providers, and payors with accurate documentation and timely access to therapies.

You will handle high-volume referrals, coordinate benefits, and communicate clearly with insurers and healthcare teams. A strong attention to detail and customer service is essential.

Qualifications

• Minimum 1 year of medical billing or insurance verification experience or a related Bachelor's degree as substitute.
• Experience obtaining benefits from health plans and communicating them to patients.
• Experience submitting prior authorizations to payors with required documentation.

Responsibilities

• Verify insurance eligibility and benefits and document information in the system.
• Perform prior authorizations and gather necessary clinical documents.
• Collect and record lab values and diagnosis codes to support coverage decisions.
• Determine patient financial responsibility, including copays and deductibles.
• Coordinate benefits for referrals to ensure correct billing.
• Communicate with insurers regarding therapies and claims questions.
• Document all communications with patients, physicians, and payors.
• Identify patient financial assistance resources and copay programs.
• Handle inbound calls with accurate information.
• Resolve claim rejections and follow up as needed.
• Process high volume referrals from internal queue daily.
• Meet performance metrics for volume and quality.

Skills

Medical billing

Insurance verification

Prior authorizations

Documentation

Customer service

Data entry

Communication

Detail-oriented

Education

High school diploma

Bachelor's degree (preferred)

Tools

EMR systems

Job description

Actalent is seeking an Insurance Verification Coordinator to verify eligibility, benefits, and prior authorizations for medications and services. The role supports patients, providers, and payors with accurate documentation and timely access to therapies.

You will handle high-volume referrals, coordinate benefits, and communicate clearly with insurers and healthcare teams. A strong attention to detail and customer service is essential.