Remote Insurance Verification & Authorization Specialist

Rockstar; Northern (KY); Hybrid; USD 42,000 - 64,000; Full time

Benefits offered by this job

Remote work

HIPAA-compliant home office setup

Job summary

Rockstar, based in Arizona, is seeking a remote Insurance Verification & Authorization Specialist to support U.S.-based healthcare practices on a full-time basis. The role focuses on accurate insurance verification and prior authorizations to prevent delays and denials.

You will verify eligibility, obtain authorizations, update EMR records, and communicate results to clinical and administrative staff, all while upholding HIPAA compliance in a home-office setup.

Qualifications

• 2+ years of experience in medical insurance verification, prior authorization, or related healthcare admin role
• Strong working knowledge of insurance terminology, benefit structures, eligibility processes, and payer requirements
• Proven ability to interpret and communicate benefit details accurately to clinical staff and patients
• Experience working directly with insurance companies via phone and online payer portals
• High attention to detail and a track record of accuracy in data entry and documentation
• Excellent written and verbal English communication skills with clear phone communication
• Strong organizational skills with the ability to manage high volumes of verifications and authorizations
• Ability to work independently, meet daily targets, and maintain consistent communication with client teams

Responsibilities

• Verify patient insurance eligibility and benefits prior to all scheduled appointments
• Confirm coverage details including co-pays, co-insurance, deductibles, out-of-pocket maximums, and coverage limitations
• Identify and document patient financial responsibility at least 24 hours before patient arrival
• Update patient files and EMR records with accurate insurance information
• Communicate verification results clearly to clinical and administrative staff
• Handle multiple insurance types including commercial plans, Medicare, Medicaid, workers' comp, and auto claims
• Obtain prior authorizations for procedures, therapy visits, and services as required
• Submit authorization requests via phone, payer portals, and electronic systems
• Track approvals, denials, pending requests, and expiration dates
• Follow up on pending authorizations to prevent gaps in care or cancellations
• Renew authorizations as treatment requires and maintain records
• Escalate unresolved issues to the appropriate internal team
• Liaise with insurance companies to clarify coverage and obtain benefit details
• Assist patients and clinical staff with insurance questions and benefit explanations
• Identify and help prevent claim rejections from inaccurate information
• Assist billing teams with insurance documentation and records retrieval
• Maintain organized EMR and insurance documentation
• Process and manage incoming faxes, referrals, and payer correspondence
• Generate basic reports and tracking logs
• Maintain HIPAA compliance and confidentiality
• Participate in team meetings and trainings

Skills

Attention to detail

English communication

Time management

Independent work

Tools

EMR systems

Payer portals

Google Workspace

Slack

Job description

Rockstar, based in Arizona, is seeking a remote Insurance Verification & Authorization Specialist to support U.S.-based healthcare practices on a full-time basis. The role focuses on accurate insurance verification and prior authorizations to prevent delays and denials.

You will verify eligibility, obtain authorizations, update EMR records, and communicate results to clinical and administrative staff, all while upholding HIPAA compliance in a home-office setup.