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Insurance Verification Remote Work From Home Jobs in Illinois

Insurance Producer - 100% Remote Must be authorized to work in the US, no work visas offered at this time Organization Description: Robinson Insurance Agency focuses on protecting families with life ...

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Insurance Verification Remote Work From Home information

What is the difference between Insurance Verification Remote Work From Home vs Insurance Follow-Up Specialist?

AspectInsurance Verification Remote Work From HomeInsurance Follow-Up Specialist
CredentialsHigh school diploma or equivalent; certification preferredHigh school diploma or equivalent; certification may be advantageous
Work EnvironmentRemote, home-basedRemote or office-based, depending on employer
Industry UsageCommon in healthcare and insurance sectorsCommon in healthcare, insurance, and billing departments
Primary FocusVerifying insurance coverage and eligibilityFollowing up on unpaid claims and denials

Insurance Verification Remote Work From Home primarily involves confirming patient insurance details, while Insurance Follow-Up Specialist focuses on resolving claim issues. Both roles often require similar credentials and are performed remotely in healthcare settings, but their core responsibilities differ, making them distinct yet related positions in the insurance and healthcare industry.

What are common challenges faced when working remotely in insurance verification, and how can they be addressed?

One common challenge in remote insurance verification is maintaining clear and timely communication with healthcare providers, patients, and team members, as questions or discrepancies often arise that require prompt resolution. Additionally, working from home can involve managing distractions and ensuring access to secure systems for handling sensitive data. To address these challenges, it's important to establish a dedicated workspace, follow company protocols for data security, and utilize collaboration tools such as secure messaging and video calls to stay connected with colleagues and supervisors. Regular virtual check-ins and clear documentation practices also help maintain workflow efficiency and accuracy.

What is insurance verification in a remote work from home setting?

Insurance verification in a remote work from home setting involves reviewing and confirming a patient's insurance coverage and benefits before medical services are provided, but it is done entirely from a home office. Remote insurance verification specialists communicate with healthcare providers, insurance companies, and patients via phone, email, or specialized software. They ensure that the information is accurate, up-to-date, and that the services to be rendered are covered under the patient's policy. This role requires attention to detail, strong communication skills, and the ability to securely handle sensitive information while working independently.

What are the key skills and qualifications needed to thrive as an insurance verification specialist working remotely from home?

To thrive as an Insurance Verification Specialist working remotely, you need a solid understanding of healthcare insurance policies, billing procedures, and attention to detail, often supported by experience in medical billing or healthcare administration. Familiarity with insurance verification software, electronic health records (EHR), and payer portals is commonly required. Strong communication, organizational skills, and the ability to work independently are crucial for effective remote collaboration and problem-solving. These skills ensure accurate verification, timely processing, and seamless coordination between providers, payers, and patients, which are vital for revenue cycle success.
What are popular job titles related to Insurance Verification Remote Work From Home jobs in Illinois? For Insurance Verification Remote Work From Home jobs in Illinois, the most frequently searched job titles are:
What cities in Illinois are hiring for Insurance Verification Remote Work From Home jobs? Cities in Illinois with the most Insurance Verification Remote Work From Home job openings:

Enrollment Specialist (Remote - Work From Home)

Lumata Health

IL โ€ข On-site, Remote

$23 - $26/hr

Full-time

Medical, Dental, Vision, PTO

Re-posted yesterday


Job description

Job Type
Full-time
Description
Position: Enrollment Specialist (Remote - Work From Home)
Job Type: Non-exempt - Full-time
Schedule: Monday to Friday - schedules ranging from 8am - 7pm PST/MST/CST/EST
Pay Range: $23.00 - $26.00 Hourly + Monthly bonus opportunity of up to $750
Location: Remote - Work from Home
This role is 100% remote with no face-to-face contact with patients. We have a "remote first" environment and are proud to have team members located nationally.
Make an Impact-One Enrollment at a Time.
Are you looking for a rewarding career where you can make a difference in patients' lives every day?
Do you thrive in a collaborative, fast-growing healthcare environment and enjoy helping others while achieving goals?
If so, Lumata Health is the place for you. Join our team and help connect patients with the care they need while supporting our mission to protect vision and improve lives.
About Lumata Health: Blindness is a devastating-but largely preventable-consequence of poorly managed chronic eye diseases like glaucoma, diabetic retinopathy, and age-related macular degeneration. These debilitating diseases are expected to double between 2020 and 2050, outpacing the capacity of providers and contributing to the rising cost of eye disorders in the US, which already exceeds $99B in direct medical costs annually. In over 95% of cases, disease progression can be slowed or stopped, preserving vision and extending healthspan. But doing so requires tailored, timely, and intelligent engagement throughout the patient's lifelong care journey. That's where Lumata comes in.
Lumata Health is leading the way in leveraging data-driven virtual care management to address this large and rapidly growing problem. Built with $2M in funding support from the National Eye Institute, Lumata Health's Intelligent Engagement Platform maximizes the impact of multichannel, personalized engagement by our team of JCAHPO-certified ophthalmic care coaches. Lumata takes a holistic approach to care-combining behavioral and psychosocial information with clinical data to create tailored, high-impact patient engagements. In addition to promoting adherence, we help patients overcome barriers to care by assisting with things like financial assistance programs, prescriptions and refills, insurance issues, transportation to visits, understanding their disease and care plan, and coordinating care with other providers.
With direct medical record access to hundreds of thousands of patients with vision-threatening chronic eye diseases and partnerships with over 1,400 eye care specialists in 35 states, Lumata Health is helping people affected by chronic eye conditions live healthier, longer lives.
We're looking for caring and committed teammates to join our mission of helping people see the world. If you're passionate about stopping preventable blindness, we hope you'll apply.
Summary
Position Overview: We are seeking a passionate and persuasive Enrollment Specialist to enroll patients with chronic, potentially blinding diseases like glaucoma, diabetic retinopathy, and age-related macular degeneration in our care management program. The role involves engaging prospective patients from partner practices by highlighting program benefits and convincing them to enroll. The specialist must thrive in a sales- and metrics-driven environment, making a high volume of outbound calls (minimum of 50 per day) and converting at least 30% into successfully enrolled patients. Achieving a minimum of 7 enrollments per day is key to meeting this performance goal. Responsibilities also include maintaining accurate enrollment records and collaborating with leadership to improve the enrollment process
Essential Functions
Sales and Customer Engagement:
  • Engage with potential patients through outbound calls to promote and enroll them in our services.
  • Provide detailed information about our services, highlighting the benefits and features to prospective patients.
  • Address inquiries, concerns, and objections effectively to secure enrollments.

Enrollment Process:
  • Guide patients through the enrollment process, ensuring all necessary information is collected accurately.
  • Maintain up-to-date knowledge of enrollment policies, procedures, and compliance requirements.
  • Maintain a patient-focused approach to enhance the overall enrolling experience.

Collaboration and Communication:
  • Collaborate with team members to share best practices and strategies for achieving enrollment/metric goals.
  • Communicate effectively with other departments to ensure seamless service delivery and customer satisfaction.
  • Participate in training sessions and team meetings to stay informed about services and industry trends.

Sales Targets and Reporting:
  • Achieve and exceed monthly enrollment targets and performance metrics.
  • Track and report enrollment activities, outcomes, and performance to supervisors.
  • Utilize CRM (Salesforce) software to document patient interactions.

Compliance and Quality Assurance:
  • Adhere to all company policies, procedures, and ethical standards.
  • Ensure compliance with regulatory requirements and company guidelines during the sales and enrollment process.
  • Maintain accurate and secure records of customer interactions and transactions.
  • Perform other duties as assigned to support Lumata Health's goals and objectives.

Requirements
Required Skills
  • Strong sales instincts - persuasion, objection handling, closing.
  • Empathy and patient focus - ability to balance metrics with compassion.
  • Excellent verbal and written communication skills.
  • High resilience in a quota-driven environment with frequent rejection.
  • Strong organizational skills with attention to detail in documentation.
  • Ability to work independently in a fully remote environment.
  • Ability to work remotely with reliable Wifi access.

Education and Experience
  • 2+ years of work experience in eye care, or a related field, preferred .
  • 1+ years of sales experience, preferred .
  • Proficient with Electronic Medical Record (EMR) systems, preferred .

Physical requirements
  • Must have a home office that is secure and free of distractions (HIPAA-compliant workspace)
  • Prolonged periods of sitting at the desk and working on a computer
  • Must be able to hear, speak, call and virtually meet
  • Must be able to communicate both verbally and in writing

Work Environment
In order to perform the essential functions of this job, you must have a dedicated remote workspace, and a wireless connection with a minimum of 50 Mbps of download speed and 10 Mbps of upload speed of dedicated internet bandwidth for each person working from home; the workspace is private and has low to no noise level as you will be on phone calls with patients. It is very important that your workspace is HIPAA compliant; your company issued laptop/pc must maintain visibility that only you can access as you'll be handling patient data. You are also expected to have your camera on during virtual meetings, therefore, you must be in a designated workspace/room for privacy.
Your workspace should be private and offer a low noise level conducive with managing frequent professional conversations and virtual meetings. It is also critical that your workspace be HIPAA compliant. For example, you will want to ensure access to your company-issued PC is restricted, as you may be handling confidential and privileged data at times. You are typically expected to have your camera on during virtual external and internal meetings, therefore, your surroundings should be optimized for privacy.
Benefits
At Lumata Health, we know you are more than just an employee. As we grow, so will our benefits package. We hope you'll be a part of that growth!
  • Medical, Dental and Vision
  • Paid time off
  • Parental leave
  • ... more additional benefits

Our Culture
At Lumata, we foster a dynamic, inclusive, and supportive remote work environment. We prioritize trust, collaboration, and continuous learning, ensuring a healthy work-life balance.
Collaboration: Stay connected through regular team meetings and open communication.
Inclusivity: A diverse team where everyone feels welcome and valued.
Fun Culture: Engage in chats centered around health, wellness, celebrations, and more.
Recognition: Regular feedback, performance incentives, and growth opportunities.
Join Lumata and be part of a forward-thinking, remote-first team where your contributions make a difference, and your well-being is prioritized.
We are an equal opportunity employer that values diversity at all levels. All individuals are encouraged to apply. If you need assistance or an accommodation due to a disability, you may contact us at: hr@lumatahealth.com (no unsolicited resumes please). Applicants must submit an application with Lumata Health to be considered for the position.
Please be advised that Lumata Health only accepts resumes for compensation from agencies that have a signed agreement with Lumata Health. Any unsolicited resumes, including those submitted to hiring managers, are deemed to be the property of Lumata Health. In the absence of a signed Recruitment Services Agreement, we will not consider, or agree to, payment of any referral compensation or recruiter fee. In the event that a recruiter or agency submits a resume or candidate without a previously signed agreement, we explicitly reserve the right to pursue and hire those candidate(s) without any financial obligation to the recruiter or agency.
The above statements are intended to describe the essential functions of the job being performed by the employees assigned to this classification. The duties and responsibilities listed are not to be construed as an exhaustive list of all duties, responsibilities and skills required. All employees may be required to perform duties outside their normal responsibilities from time to time, as needed. With the evolution of the organization and this role, the responsibilities of this position may change at any time.
Salary Description
$23.00 - $26.00 Hourly