Remote Insurance Verification Specialist

Vail Health; Vail (CO); Remote; USD 28,000 - 33,000; Full time

Benefits offered by this job

Parental leave

Housing programs

Childcare reimbursement

Medical insurance

Vision insurance

Tuition Assistance

Student Loan Repayment

Wellbeing reimbursement

Pet insurance

Job summary

Vail Health is seeking an Insurance Verification Representative to ensure accurate and timely verification of insurance and benefits for patients. The role supports financial clearance prior to service and maintains patient demographic and insurance data for correct claims processing.

The position operates on a standard schedule of 8:00 AM – 4:30 PM MST and may include remote options; candidates should be comfortable working in a remote setup and within the listed 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 Physical Therapy and/or Occupational Therapy workflows, is strongly preferred.

Responsibilities

• Determine eligibility and benefits prior to scheduled appointments using online systems and calls.
• Identify payer plan codes in the electronic health record system.
• Verify medical necessity per CMS standards and inform patients of coverage details.
• Coordinate with patients, physicians, and staff to gather required information.
• Obtain missing demographics, insurance, or pre-authorization details.
• Discuss patient financial responsibility and explore payment options.

Skills

Customer service

Insurance verification

Epic experience

Education

Healthcare administration degree

Tools

Epic

Job description

Vail Health is seeking an Insurance Verification Representative to ensure accurate and timely verification of insurance and benefits for patients. The role supports financial clearance prior to service and maintains patient demographic and insurance data for correct claims processing.

The position operates on a standard schedule of 8:00 AM – 4:30 PM MST and may include remote options; candidates should be comfortable working in a remote setup and within the listed states.