Remote Insurance Verification Specialist

R1 RCM; United States; Remote; USD 22,041 - 31,684; Full time

Job summary

R1 RCM Inc. is seeking an Insurance Verification Associate to minimize financial risk for hospitals and patients by verifying insurance coverage, eligibility, and authorization needs.

This role documents accurate benefits on patient accounts and collaborates with clinical teams to gather required information. The ideal candidate has at least one year of patient-facing experience, strong customer service, and professional communication with patients and physician offices.

Qualifications

• At least one year of similar experience in patient-facing roles (Registration Complete).
• Excellent customer service skills with strong oral and written communication.
• Ability to work with peers in a team and cross-functional environment.
• Able to communicate effectively and professionally with patients and physician offices.

Responsibilities

• Initiates contact with insurance companies to verify benefits, eligibility, and authorization requirements.
• Submits and follows up on pre-certification, authorization, and retro-authorization requests until determination.
• Obtains clinical information by collaborating with care management teams or accessing patient records.
• Completes detailed electronic documentation to ensure accurate benefit verification and clean claim processing.
• Identifies and corrects inaccurate insurance plan codes within the hospital system.
• Maintains HIPAA compliance and documents actions clearly while communicating with patients, team members and stakeholders.
• Performs other assigned duties and tasks.

Skills

Customer service

Communication

Teamwork

Job description

R1 RCM Inc. is seeking an Insurance Verification Associate to minimize financial risk for hospitals and patients by verifying insurance coverage, eligibility, and authorization needs.

This role documents accurate benefits on patient accounts and collaborates with clinical teams to gather required information. The ideal candidate has at least one year of patient-facing experience, strong customer service, and professional communication with patients and physician offices.