Remote Insurance Verification Specialist

vailclinicincdbavailhealthhospital; United States; Remote; USD 28,000 - 33,000; Full time

Benefits offered by this job

Parental leave (4 weeks paid)

Housing programs

Childcare reimbursement

Tuition assistance

Job summary

Vail Health is seeking an Insurance Verification Specialist to ensure accurate eligibility checks and benefits verification before services. You will verify payer requirements, coordinate information with patients and clinicians, and support pre-authorizations while maintaining HIPAA standards.

Experience with Epic and PT/OT workflows is highly preferred, with opportunities for professional growth, competitive wages, and comprehensive benefits included in a full-time role in the United States.

Qualifications

• One year of customer service experience preferred.
• Insurance verification or healthcare experience preferred.
• At least one year of professional experience using Epic, specifically with PT/OT workflows, is strongly preferred.

Responsibilities

• Determine eligibility and benefits prior to scheduled appointments.
• Identify and assign payer plan codes in the EHR system.
• Verify medical necessity per CMS standards and explain coverage to patients.
• Coordinate benefits and obtain pre-certifications from third-party payers.
• Maintain HIPAA compliance and communicate with patients and staff.

Skills

Customer service

Insurance verification

Healthcare experience

Epic EMR

PT/OT workflows

Education

Healthcare administration degree

Job description

Vail Health is seeking an Insurance Verification Specialist to ensure accurate eligibility checks and benefits verification before services. You will verify payer requirements, coordinate information with patients and clinicians, and support pre-authorizations while maintaining HIPAA standards.

Experience with Epic and PT/OT workflows is highly preferred, with opportunities for professional growth, competitive wages, and comprehensive benefits included in a full-time role in the United States.