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Freelance Insurance Eligibility Verification Jobs

TARLANI Healthcare

Insurance Eligibility

Montrose, CA

$21 - $25/hr

Verify insurance eligibility; contact patients and departments with any negative outcomes * Assist billing with claims issues due to insurance authorization denials * Work closely with the clinical ...

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How much do freelance insurance eligibility verification jobs pay per hour?

As of Aug 22, 2026, the average hourly pay for freelance insurance eligibility verification in the United States is $19.53, according to ZipRecruiter salary data. Most workers in this role earn between $16.35 and $20.91 per hour, depending on experience, location, and employer.

What does a freelance insurance eligibility verification specialist do?

A Freelance Insurance Eligibility Verification specialist is responsible for confirming a patient's insurance coverage and benefits before medical services are rendered. They work independently with healthcare providers, verifying patient information with insurance companies to ensure services will be covered and to determine any out-of-pocket costs. Their work helps prevent claim denials and billing issues, and they often communicate with both patients and medical staff to resolve eligibility questions. This role may involve using various insurance portals, phone calls, and maintaining accurate records for billing and compliance purposes.

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

To excel as a Freelance Insurance Eligibility Verification Specialist, you need a strong understanding of healthcare insurance policies, medical billing procedures, and insurance terminology, often supported by experience in healthcare administration or billing. Familiarity with insurance portals, electronic health record (EHR) systems, and billing software is typically required. Attention to detail, strong communication, and problem-solving skills are critical soft skills for resolving discrepancies and interacting with providers or patients. Mastering these skills ensures accurate verification, reduces claim denials, and supports efficient revenue cycle management for healthcare organizations.

What are some typical challenges faced by freelance insurance eligibility verification specialists and how can they be managed?

Freelance insurance eligibility verification specialists often encounter challenges such as navigating different insurance portals, staying updated on policy changes, and communicating effectively with both clients and insurance representatives. Managing these challenges requires strong organizational skills, the ability to quickly adapt to new systems, and proactive communication to clarify coverage details. Building a network of contacts within insurance companies and staying current on industry updates can also help streamline the verification process and reduce errors.
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Freelance Insurance Eligibility Verification jobs near you
Infographic showing various Freelance Insurance Eligibility Verification job openings in the United States as of August 2026, with employment types broken down into 75% Full Time, and 25% Temporary. Highlights an 75% In-person, and 25% Remote job distribution, with an average salary of $40,625 per year, or $19.5 per hour.

ELIGIBILITY VERIFICATION SPECIALIST

New York City | Jobs

Manhattan, NY • On-site

$18.75 - $23.25/hr

Other

This job post has expired today. Applications are no longer accepted.

Job description

Eligibility Verification Specialist

The Department of Social Services (DSS) is comprised of the administrative units of the New York City Human Resources Administration (HRA) and the Department of Homeless Services (DHS). HRA is dedicated to fighting poverty and income inequality by providing New Yorkers in need with essential benefits such as Food Assistance and Emergency Rental Assistance. DHS is committed to preventing and addressing homelessness in New York City by employing a variety of innovative strategies to help families and individuals successfully exit shelter and return to self-sufficiency as quickly as possible. The Bureau of Case Integrity & Eligibility Verification's mission is to maximize revenue generation for DSS/HRA/DHS and outside Agencies, ensure payments are categorically eligible for their respective funding streams and carry out cost avoidance projects to minimize audit disallowances. The Office of Revenue Management and Development (ORMD) is requesting one (1) Principal Administrative Associate II to function as an Eligibility Verification Specialist in its Bureau of Case Integrity and Eligibility Verification (BCIEV)/ Case Integrity Unit, who will:

  • Review and analyze Cash Assistance case records and computer data to determine which cases qualify for a category that is eligible for State and Federal funding. Identify retroactive obligations that have not been claimed and determine the effective date of adjustment for Federal and State reimbursements as established by case record entries and date of change and occurrence.
  • Review invoices for families residing in domestic violence shelters with payments previously claimed as Safety Net (SN) or Title XX to determine which payments are eligible to be shifted to either the Emergency Assistance to Needy Families (EAF) or Family Assistance (FA). Determine the billing period: case category, individuals residing in the shelter, individuals case status, relationship between payee and child(ren), citizenship, number of eligible days per individuals. Also, ensures the EAF claim adjustment does not exceed the 135-day time limit for each individual. Adhere to tight claim deadlines.
  • Review of rosters for families receiving Domestic Violence non-residential services to determine if the family meets the criteria to shift Title XX payments to Emergency Assistance to Needy Families (EAF). Confirming receipt of W145TT and participants attestation forms; tracking each individual's EAF eligibility to ensure EAF claim adjustments do not exceed the EAF eligibility period. Adhere to tight claim deadlines.
  • Review Office of Temporary Disability Administration Invalid Social Security Number Validation files of Cash Assistance and Supplemental Nutrition Assistance Program (SNAP) individuals with an invalid Social Security Numbers to assist with minimizing audit disallowances and minimizing fraud. Verify clients' demographics and prepare Turnaround Documents (TADS), when applicable, to correct client demographics. Prepare reports of referrals to Investigation, Revenue and Enforcement Administration (IREA) for client call-in and suspected fraud cases.
  • Keep abreast of current Federal, State and Agency policy and procedures to ensure categorical eligible payments adhere to all appropriate regulatory requirements. Assess the potential impact on claims and claim adjustments the requirements governing the various funding streams to ensure BCIEV is current and in compliance with existing funding requirements.
  • Perform quality assurance for Enterprise Data Warehouse (EDW) queries testing and providing feedback to enhance EDW queries.
  • Complete manual case lookups in response to press inquiries, FOIL requests, and DSS/DHS/HRA Senior staff requests, when data match results are inconclusive, to provide accurate details, case category and eligibility.
  • Perform case review analysis of Agency audit findings of cases potentially claimed in an incorrect category.
  • Work on numerous special projects involving other areas of the agency
  • Provide back-up documentation to substantiate claims and claim adjustments submitted by Finance Office/ORMD units
  • Create case records utilizing screenshots from Welfare Management System (WMS), HRA One Viewer, Systematic Alien Verification for Entitlements (SAVE), Paperless Office System (POS) and other systems

Hours/Schedule: 9:00 am to 5:00 pm PRINCIPAL ADMINISTRATIVE ASSOC - 10124

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