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Full Time Work From Home Medical Insurance Verification Jobs

Heraeus

Insurance Verification Specialist

Rolla, MO · Remote

$17.50 - $21.50/hr

... Full Time About Heraeus Solutions from the Heraeus Group provide faster internet, rid water of ... Review payer medical policies and coverage criteria specific to cellular tissue products and wound ...

Gibbons Group

Work From Home!

Lincoln, NE · On-site +1

... work FULL TIME OR PART TIME. We train agents to distribute our Living Benefits Life Insurance in ... Direct Mentorship and Training from a Top Manager What we do: * We offer a revolutionary type of ...

Vital Connect Inc

Insurance Verification Specialist

CA · Remote

$17.50 - $21.50/hr

Work collaboratively with the practices to resolve registration, insurance verification, referral ... Accept registration updates from various intake points, including but not limited to those received ...

Bluebird Kids Health

Insurance Verification Specialist

$17.50 - $21.50/hr

Our success is measured by exceptional health outcomes, lower medical costs, an outstanding child ... Ability to work independently and as part of a team with a strong sense of focus. * Ability to ...

IQVIA

Work from Home

Tucson, AZ · Remote

$18/hr

Our teams help biopharma, medical device and diagnostic companies get their therapies to the people ... full-time employee. #LI-CES #LI-Remote #LI-DNP IQVIA is a leading global provider of clinical ...

IQVIA

Work from Home

Boise, ID · Remote

$18/hr

Our teams help biopharma, medical device and diagnostic companies get their therapies to the people ... full-time employee. #LI-CES #LI-Remote #LI-DNP IQVIA is a leading global provider of clinical ...

IQVIA

Work from Home

Grand Junction, CO · Remote

$18/hr

Our teams help biopharma, medical device and diagnostic companies get their therapies to the people ... full-time employee. #LI-CES #LI-Remote #LI-DNP IQVIA is a leading global provider of clinical ...

IQVIA

Work from Home

Cincinnati, OH · Remote

$18/hr

Our teams help biopharma, medical device and diagnostic companies get their therapies to the people ... full-time employee. #LI-CES #LI-Remote #LI-DNP IQVIA is a leading global provider of clinical ...

IQVIA

Work from Home

Fort Collins, CO · Remote

$18/hr

Our teams help biopharma, medical device and diagnostic companies get their therapies to the people ... full-time employee. #LI-CES #LI-Remote #LI-DNP IQVIA is a leading global provider of clinical ...

IQVIA

Work from Home

Indianapolis, IN · Remote

$18/hr

Our teams help biopharma, medical device and diagnostic companies get their therapies to the people ... full-time employee. #LI-CES #LI-Remote #LI-DNP IQVIA is a leading global provider of clinical ...

IQVIA

Work from Home

Littleton, CO · Remote

$18/hr

Our teams help biopharma, medical device and diagnostic companies get their therapies to the people ... full-time employee. #LI-CES #LI-Remote #LI-DNP IQVIA is a leading global provider of clinical ...

IQVIA

Work from Home

Cleveland, OH · Remote

$18/hr

Our teams help biopharma, medical device and diagnostic companies get their therapies to the people ... full-time employee. #LI-CES #LI-Remote #LI-DNP IQVIA is a leading global provider of clinical ...

IQVIA

Work from Home

Little Rock, AR · Remote

$18/hr

Our teams help biopharma, medical device and diagnostic companies get their therapies to the people ... full-time employee. #LI-CES #LI-Remote #LI-DNP IQVIA is a leading global provider of clinical ...

IQVIA

Work from Home

Colorado Springs, CO · Remote

$18/hr

Our teams help biopharma, medical device and diagnostic companies get their therapies to the people ... full-time employee. #LI-CES #LI-Remote #LI-DNP IQVIA is a leading global provider of clinical ...

IQVIA

Work from Home

North Little Rock, AR · Remote

$18/hr

Our teams help biopharma, medical device and diagnostic companies get their therapies to the people ... full-time employee. #LI-CES #LI-Remote #LI-DNP IQVIA is a leading global provider of clinical ...

IQVIA

Work from Home

Norfolk, VA · Remote

$18/hr

Our teams help biopharma, medical device and diagnostic companies get their therapies to the people ... full-time employee. #LI-CES #LI-Remote #LI-DNP IQVIA is a leading global provider of clinical ...

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Full Time Work From Home Medical Insurance Verification information

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$12

$19

$34

How much do full time work from home medical insurance verification jobs pay per hour?

As of Sep 5, 2026, the average hourly pay for full time work from home medical insurance verification in the United States is $19.36, according to ZipRecruiter salary data. Most workers in this role earn between $15.87 and $19.95 per hour, depending on experience, location, and employer.

What is the difference between Full Time Work From Home Medical Insurance Verification vs Medical Claims Processor?

AspectFull Time Work From Home Medical Insurance VerificationMedical Claims Processor
CredentialsHigh school diploma or equivalent; certification in insurance verification preferredHigh school diploma or equivalent; certification in claims processing advantageous
Work EnvironmentRemote, home-based officeRemote, home-based office or office setting
Industry UsageCommonly used in health insurance companies and healthcare providersUsed in insurance companies, healthcare organizations, and third-party administrators
Job FocusVerifying patient insurance coverage and eligibilityReviewing and processing insurance claims for reimbursement

Both roles are essential in healthcare administration, often performed remotely, and require similar certifications. However, Medical Insurance Verification focuses on confirming coverage, while Medical Claims Processing involves handling claims for payment. Understanding these differences helps job seekers find the right position aligned with their skills and career goals.

What cities are hiring for Full Time Work From Home Medical Insurance Verification jobs?

Cities with the most Full Time Work From Home Medical Insurance Verification job openings:

What states have the most Full Time Work From Home Medical Insurance Verification jobs?

States with the most job openings for Full Time Work From Home Medical Insurance Verification jobs include:

What job categories do people searching Full Time Work From Home Medical Insurance Verification jobs look for?

The top searched job categories for Full Time Work From Home Medical Insurance Verification jobs are:

Full Time Work From Home Medical Insurance Verification jobs near you
Infographic showing various Full Time Work From Home Medical Insurance Verification job openings in the United States as of August 2026, with employment types broken down into 1% As Needed, 79% Full Time, 17% Part Time, and 3% Contract. Highlights an 91% Physical, 2% Hybrid, and 7% Remote job distribution, with an average salary of $40,262 per year, or $19.4 per hour.

Insurance Verification Specialist

Heraeus

Rolla, MO • Remote

$17.50 - $21.50/hr

Full-time

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

Heraeus Group rating

6.9

Company rating: 6.9 out of 10

Based on 11 frontline employees who took The Breakroom Quiz

Job description

Insurance Verification Specialist
Incubator New Businesses
Location remote - N/A
Permanent  
Full Time
 
 

About Heraeus

Solutions from the Heraeus Group provide faster internet, rid water of germs, and keep hearts beating in time. As a broadly diversified and globally leading family-owned technology company, we combine materials expertise and technological leadership to create the most diverse products, all with one thing in common: World-class quality. Working with customers around the world, we shape the future and provide vital innovations in the areas of Metals & Recycling, Healthcare, Semiconductor & Electronics and Industrials. Heraeus is one of the top 10 family-owned companies in Germany and has a team of around 17,200 employees in 40 countries.

About Engineered Tissue Solutions

Engineered Tissue Solutions was acquired in 2021 by the Heraeus Group, a broadly diversified family-owned technology company. Learn more about Heraeus Group at www.heraeus.com.

The following challenges await you:

  • Verify patient insurance eligibility, benefits, and coverage for advanced wound care and cellular tissue products.
  • Conduct benefit investigations with commercial, Medicare, Medicaid, and managed care payers.
  • Determine patient financial responsibility, including deductibles, copayments, coinsurance, and out-of-pocket maximums.
  • Manage eligibility cases and communicate with payer case managers, customer providers, sales, and field reimbursement personnel to facilitate patient access to therapy.
  • Escalate complex eligibility or coverage issues when appropriate.
  • Review payer medical policies and coverage criteria specific to cellular tissue products and wound care therapies.
  • Obtain and document prior authorization requirements, pre-certifications, and referral requirements.
  • Maintain accurate documentation of all payer communications, verification details, authorization status, and patient account notes within the CRM or reimbursement management system.
  • Monitor authorization approvals, denials, and pending requests while ensuring timely follow-up to prevent delays in patient treatment.
  • Assist providers with gathering and submitting supporting clinical documentation required for insurance approvals.
  • Identify payer-specific billing requirements, coding guidelines, and documentation standards for cellular tissue products.
  • Stay current on Medicare Local Coverage Determinations (LCDs), commercial payer policies, and reimbursement policy changes impacting wound care products.
  • Maintain compliance with HIPAA, CMS regulations, FDA guidelines, company policies, and applicable healthcare laws.
  • Maintain productivity, quality, and turnaround time standards for insurance verification activities to ensure timely patient care.
  • Provide exceptional customer service while maintaining professionalism and confidentiality in all patient and provider interactions.
  • Attend departmental meetings and in-services as requested

Your Profile:

  • Takes personal accountability for supporting customers and improving patient access to ETS products.
  • Minimum 5 years of experience in patient access, reimbursement support, or medical billing/coding
  • Demonstrated expertise in prior authorizations, appeals, and benefit investigations
  • Strong working knowledge of Medicare, Medicaid, and commercial payer policies and processes
  • Experience with medical coding systems (CPT, HCPCS, ICD-10-CM) relevant to wound care and surgical interdisciplinary
  • Excellent written and verbal communication skills
  • High School Diploma Required; Bachelor's or Associate's degree preferred

Preferred Qualifications

  • Experience with wound care or related therapeutic areas (e.g., advanced wound dressings, skin substitutes, biologics.)
  • Experience with case management platforms (e.g., Salesforce Health Cloud, custom CRM systems)
  • Background in medical device in the hospital or physician office setting

Curious? Apply now!

Heraeus is proud to be an employer that provides equal access to opportunities for all its employees. We provide fair and equal consideration to all qualified applicants, regardless of sex, gender identity, sexual orientation, race, color, religion, national origin, physical or mental disability, protected veteran status, age, or any other legally protected characteristic. A diverse and inclusive culture is at the heart of our Vision, Mission, and Values. We are dedicated to cultivating a workforce that reflects a broad spectrum of cultures, backgrounds, and perspectives.   

We participate in E-Verify to confirm employment eligibility after hire. Learn more at www.e-verify.gov


Any further questions?

If you need any assistance or have questions, please contact hrdirect-americas@heraeus.com or visit our website at jobs.heraeus.com.

 

Keywords: reimbursement, wound care, market access, patient access 

 

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