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Freelance Insurance Claim Verification Jobs in Delaware

Leavitt Group

Customer Service Rep

Bethany Beach, DE · On-site

$15.75 - $21.50/hr

... claim information, collect premiums, submit the proper documents to the company, and verify that ... verification documents to the insured (auto id, certificates, etc.). Once licensed, you will ...

Bayhealth

Medical Biller/Coder

Dover, DE · On-site

$18.25 - $23.50/hr

Maintain full cycle of medical billing from completed claims' submission to full claim's payments ... verifies medical necessity from updated medical policies published by the insurance carriers. 5. ...

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Freelance Insurance Claim Verification information

What is freelance insurance claim verification?

Freelance insurance claim verification involves independently assessing and validating insurance claims on behalf of insurance companies or third-party administrators. Freelancers in this role review documentation, interview claimants or witnesses, and ensure that claims are legitimate and comply with policy terms. They may handle claims related to health, auto, property, or other types of insurance, providing objective reports to help insurers make informed decisions. This work allows flexibility and can often be done remotely, depending on the case requirements.

What are the key skills and qualifications needed to thrive as a freelance insurance claim verification specialist?

To thrive as a Freelance Insurance Claim Verification Specialist, you need a solid understanding of insurance policies, claims processing, and investigative techniques, often supported by prior experience in insurance or a relevant certification. Familiarity with claims management software, databases, and digital communication tools is crucial for efficient verification and reporting. Strong attention to detail, analytical thinking, and clear written communication set top performers apart in this role. These skills ensure accurate, timely verification of claims, reducing fraud and supporting fair outcomes for clients and insurers.

What are some common challenges faced by freelance insurance claim verification professionals, and how can they be managed?

Freelance insurance claim verification professionals often face challenges such as gathering comprehensive documentation from clients, verifying information accuracy remotely, and managing tight deadlines from multiple clients. To overcome these challenges, it's important to establish clear communication channels with both clients and claimants, use secure digital tools for document collection, and maintain an organized workflow to prioritize tasks effectively. Building strong relationships with insurance adjusters and staying updated on industry regulations can also help streamline the verification process and ensure accuracy.

What are popular job titles related to Freelance Insurance Claim Verification jobs in Delaware?

For Freelance Insurance Claim Verification jobs in Delaware, the most frequently searched job titles are:

What job categories do people searching Freelance Insurance Claim Verification jobs in Delaware look for?

The top searched job categories for Freelance Insurance Claim Verification jobs in Delaware are:

What cities in Delaware are hiring for Freelance Insurance Claim Verification jobs?

Cities in Delaware with the most Freelance Insurance Claim Verification job openings:

Freelance Insurance Claim Verification jobs near you
Infographic showing various Freelance Insurance Claim Verification job openings in Delaware as of August 2026, with employment types broken down into 1% As Needed, 74% Full Time, 20% Part Time, and 5% Contract. Highlights an 91% Physical, 1% Hybrid, and 8% Remote job distribution.

Physician Authorization/Referral Specialist I

Nemours Children's Health

Wilmington, DE • On-site

Full-time

Re-posted 22 days ago

Nemours Children's Health rating

8.1

Company rating: 8.1 out of 10

Based on 87 frontline employees who took The Breakroom Quiz

69th of 888 rated healthcare providers

Job description


Join our team as a Physician Authorization/Referral Specialist, where you'll play a vital role in ensuring patients receive timely, coordinated care.
The Specialist is responsible for obtaining and processing elective, urgent, and emergent referrals and authorizations for a wide range of outpatient services, including cardiology, audiology, lab testing, genetic testing, and certain medications. They verify insurance eligibility and benefits, calculate and communicate patient cost estimates, and ensure copay requirements and approvals are completed before services occur.
This role works closely with insurance companies, primary care providers, partner hospitals, and internal departments to ensure accurate information, timely claim processing, and seamless patient support. The Specialist uses daily reports and work queues to follow up on pending cases, participates in department huddles, and helps resolve issues that could affect reimbursement. They are also expected to deliver excellent customer service, support Medicaid enrollment processes, use EPIC effectively, and assist with training new team members.
Responsibilities:
1.Ensure timely notification and request for authorization/referrals is handled in accordance with departmental policy and payor requirements.
2. Maintaining confidentiality, verify patient demographics, insurance eligibility, benefits, and financial responsibility.
3. Ability of request/obtain authorizations/referrals for assigned specialties and be able to cover for most specialties.
4. Communicate effectively, timely and professionally in writing and verbally
5. Contact and interview families in person or by phone contact to obtain necessary information and assist them with insurance issues that may be preventing authorization/referrals.
6. Clearly document all communications and contacts with payors and families in standardized documentation requirements including proper format
7. Consistently demonstrates excellent, empathetic and knowledgeable customer service skills to internal and external customers
8. Is aware and adheres to all State and Federal Regulations including, but not limited to: EMTALA, HIPAA, and the Joint Commission
9. Ability to review workflows and suggest improvements in specialty areas
10. Ability to work independently, prioritize workload and assist other associates as required.
11. Build and maintain professional, cooperative relationships with all departments that have direct or indirect impact on obtaining authorizations.
12. Prepare estimates for scheduled services. Must interpret patient's benefits correctly for accurate estimates.
13. Work with partner hospitals for claim submission and registration accuracy.
Qualifications:
  • Referral/authorization work experience required (minimum one year experience)
  • High School diploma required

About Us
Nemours Children's Health is an internationally recognized pediatric health system serving more than 1.7 million patient encounters each year. We deliver care across six states through two freestanding children's hospitals - Nemours Children's Hospital, Delaware and Nemours Children's Hospital, Florida - along with a network of more than 80 primary, urgent, and specialty care practices and more than 40 hospital partnerships.
Backed by the Nemours Foundation and Alfred I. duPont Trust, our $1.7B nonprofit system is dedicated to improving children's health through clinical care, research, education, advocacy, and prevention. Our Whole Child Health approach focuses equally on prevention and treatment, partnering with communities to help every child thrive.
Inclusion and belonging guide our strategy and growth. We are committed to culturally relevant care, reducing health disparities, and fostering an environment where every associate, patient, and family feels supported and valued.
Learn more at Nemours.org.

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About Nemours Children's Health

Sourced by ZipRecruiter

Nemours Children’s Health, situated in Rockland, Delaware, US, operates within the healthcare industry. The company is a prominent health system offering pediatric care in Delaware, New Jersey, Pennsylvania, and Florida. It was founded in 1936 by Alfred I duPont, philanthropist and industrialist, to improve the health of children. The core values of Nemours include quality, accountability, respect, and teamwork. Its mission is to provide leadership, institutions, and services to restore and foster a healthy tomorrow for children. The non-profit organization is unique in that its primary focus is on patient families, ensuring the highest standards of pediatric care. Notably, Nemours is consistently ranked among the top children's hospitals in the US and has its own renowned research center, the Nemours Biomedical Research.

Industry

Hospitals

Company size

5,001 - 10,000 Employees

Headquarters location

Rockland, DE, US

Year founded

1936

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