Remote Insurance Verification Specialist I

Spectraforce Technologies, Inc.; Raleigh (NC); Remote; USD 34,000 - 48,000; Full time

Job summary

Spectraforce Technologies, Inc. is hiring a Insurance Verification Coordinator I for a remote, US-based assignment. The role focuses on obtaining and verifying insurance information, prior authorizations, and coordination of benefits for services provided.

The candidate should have 1+ year of medical billing or verification experience, strong customer service, and familiarity with payors and authorization processes. The assignment lasts 3 months with remote work.

Qualifications

• High school diploma required; 1+ year medical billing or insurance verification preferred.
• Bachelor's degree can substitute for experience.
• Strong customer service skills and familiarity with payors and prior authorization.

Responsibilities

• Obtain and verify insurance eligibility for services and document in system.
• Perform prior authorizations as required by payor source and coordinate with physicians' offices and insurers.
• Collect clinical information such as lab values and diagnosis codes.
• Determine patient's financial responsibilities as stated by insurance.
• Configure coordination of benefits information on referrals.
• Ensure assignment of benefits is obtained and on file for Medicare claims.
• Bill insurance companies for therapies provided.
• Document all communications with patient, physician, and insurer related to collection procedures.
• Identify and coordinate patient resources for reimbursement (copay cards, assistance programs).
• Handle inbound calls from patients, physician offices, and insurers.
• Resolve claim rejections for eligibility, coverage, and other issues.

Skills

Managed Care

Customer Service

Call Center

Education

High school diploma

Bachelor's degree substitution

Tools

Microsoft Office

Job description

Spectraforce Technologies, Inc. is hiring a Insurance Verification Coordinator I for a remote, US-based assignment. The role focuses on obtaining and verifying insurance information, prior authorizations, and coordination of benefits for services provided.

The candidate should have 1+ year of medical billing or verification experience, strong customer service, and familiarity with payors and authorization processes. The assignment lasts 3 months with remote work.