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Insurance Verification Specialist Remote Jobs in Indiana

Orthos Inc

Pre-certification Medical Specialist

Granger, IN · On-site +1

$15.25 - $18.75/hr

Work Location This is a full-time remote opportunity (M-F 8hour shift between 7:30am - 5:30pm). Candidates must reside in one of the following states: Arizona, Arkansas, Florida, Iowa, Illinois,

Orthos Inc

Pre-certification Medical Specialist

Mishawaka, IN · On-site +1

$15.50 - $19.25/hr

Work Location This is a full-time remote opportunity (M-F 8hour shift between 7:30am - 5:30pm). Candidates must reside in one of the following states: Arizona, Arkansas, Florida, Iowa, Illinois,

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Insurance Verification Specialist Remote information

What does an insurance verification specialist do when working remotely?

An Insurance Verification Specialist working remotely is responsible for confirming patient insurance coverage and eligibility before medical services are provided. They communicate with insurance companies, healthcare providers, and patients via phone or online systems to gather and verify information. Remote specialists use secure software to access, review, and update patient records, ensuring that all necessary authorizations are obtained and that billing codes are accurate. This helps prevent claim denials and facilitates smooth billing processes for healthcare providers.

What are the key skills and qualifications needed to thrive as a remote insurance verification specialist, and why are they important?

To thrive as a Remote Insurance Verification Specialist, you need strong attention to detail, knowledge of insurance policies, and experience with healthcare billing, typically supported by a high school diploma or equivalent. Familiarity with insurance verification software, electronic health record (EHR) systems, and payer portals is essential for the role. Excellent communication, organizational skills, and the ability to work independently are important soft skills that set top performers apart. These skills ensure accurate and timely verification of insurance coverage, minimizing claim denials and supporting efficient healthcare operations.

What are some common challenges faced by remote insurance verification specialists, and how can they be managed?

Remote Insurance Verification Specialists often encounter challenges such as communicating efficiently with healthcare providers and insurance companies, navigating varying insurance policies, and managing time effectively without in-person supervision. Staying organized with digital tools, maintaining clear and prompt communication through email or secure messaging, and regularly updating oneself on changing insurance guidelines can help manage these challenges. Additionally, collaborating with team members through virtual meetings and shared platforms supports accuracy and reduces errors in the verification process.

What is the difference between Insurance Verification Specialist Remote vs Insurance Claims Processor?

AspectInsurance Verification Specialist RemoteInsurance Claims Processor
CredentialsHigh school diploma or equivalent; some roles may require certificationHigh school diploma or equivalent; certification optional
Work EnvironmentRemote, healthcare or insurance office settingRemote or office-based, healthcare or insurance industry
Job FocusVerifying patient insurance coverage and eligibilityProcessing and reviewing insurance claims for reimbursement
Common UsageHealthcare providers, insurance companies, medical billingInsurance companies, healthcare providers, claims departments

Both roles involve working within the insurance and healthcare industry, often remotely. The Insurance Verification Specialist focuses on confirming patient coverage, while the Insurance Claims Processor handles the processing of claims for reimbursement. Understanding these differences helps job seekers find the right position aligned with their skills and career goals.

What cities in Indiana are hiring for Insurance Verification Specialist Remote jobs?

Cities in Indiana with the most Insurance Verification Specialist Remote job openings:

Infographic showing various Insurance Verification Specialist Remote job openings in Indiana as of August 2026, with employment types broken down into 1% As Needed, 76% Full Time, 18% Part Time, and 5% Contract. Highlights an 84% Physical, 2% Hybrid, and 14% Remote job distribution.

Pharmacy Benefit Verification Specialist

Indianapolis, IN • Remote

Onco360
Health Care and Social Assistance • 501 - 1,000 employees
Learn more about Onco360external

$24/hr

Full-time

Medical, Dental, Vision, Life, Retirement, PTO

Re-posted 25 days ago

Onco360 rating

7.7

Company rating: 7.7 out of 10

Based on 5 frontline employees who took The Breakroom Quiz

Job description

Full-Time position may work remotely but MUST HAVE ACTIVE INDIANA PHARMACY TECHNICIAN credentials from the State Board of Pharmacy.
Onco360 Pharmacy is looking for Pharmacy Benefit Verification Specialists for our Specialty Oncology Pharmacy.
As our company continues to grow, we strive to hire new team members with a passion for making a difference in our patient's lives.
Shift times are between 8am and 8pm.
**Starting salary at $24HR and up**
Sign-On Bonus: $5,000 for employees starting before October 31, 2026.
We also offer quarterly incentive bonuses.
We offer a variety of benefits including:
  • Medical, Dental amp; Vision insurance
  • 401k with a match
  • Paid Time Off and Paid Holidays
  • Tuition Reimbursement
  • Paid Volunteer Day
  • Floating Holiday
  • Referral Incentive
  • Paid Life, and short amp; long-term disability insurance
Pharmacy Benefit Verification Summary
The Benefit Verification Specialist will investigate, review, and load accurate patient insurances, including medical and pharmacy coverage, assign coordination of benefits, run test claims to obtain a valid insurance response on patient medications, investigate/identify authorization requirements needed to obtain medication coverage, and enroll eligible patients in copay card assistance programs. They will ensure accurate benefit documentation is made for all prescription orders.
Pharmacy Benefit Verification Specialist Major Responsibilities:
  • Practices first call resolution to help health care providers and patients with their pharmacy needs, answering questions and requests.
  • Provides thorough, accurate and timely responses to requests from pharmacy operations, providers and/or patients regarding benefit information.
  • Ensures complete and accurate patient setup in CPR+ system including patient demographic and insurance information.
  • Performs full benefits verification on patients for pharmacy benefits and/or medical benefit utilizing electronic resources and E1 check to load primary, secondary, tertiary, etc. insurances and medical insurances to patient profile.
  • Run test claims at each licensed pharmacy site to obtain a valid claim response and determine optimal reimbursement, then document outcome of benefits review in CPR+ system to be used by operations and ensure the order is assigned to the appropriate dispensing pharmacy.
  • Facilitate process for requesting medical authorizations, LOAs, and TOAs for applicable commercial, Medicaid, and Medicare, or facility medication claims.
  • Maintain a safe and clean pharmacy by complying with procedures, rules, and regulations and compliance with professional practice and patient confidentiality laws
  • Contributes to team effort by accomplishing related tasks as needed and other duties as assigned.
  • Conducts job responsibilities in accordance with the standards set out in the Company’s Code of Business Conduct and Ethics, its policies and procedures, the Corporate Compliance Agreement, applicable federal and state laws, and applicable professional standards.
Pharmacy Benefit Verification Specialist Qualifications:
  • Education/Learning Experience
    • Required: High School Diploma or GED. Previous Experience in Pharmacy, Medical Billing, or Benefits Verification
    • Desired: Associate degree or equivalent program from a 2 year program or technical school, Certified Pharmacy Technician (PTCB), Specialty pharmacy experience
  • Work Experience
    • Required: 1+ years pharmacy or benefit verification experience
    • Desired: 3+ years pharmacy or benefit verification experience
  • Licenses/Certifications
    • Required: Pharmacy Technician License/Registration with Board of Pharmacy, as required by state law
  • Skills/Knowledge:
    • Required: Pharmacy insurance and benefit verification, PBM and Medical contracts, knowledge/understanding of Medicare, Medicaid, and commercial insurance, pharmacy test claim and NCPDP claim rejection resolution, coordination of benefits, NDC medication billing, pharmacy or healthcare-related knowledge, knowledge of pharmacy terminology including sig codes, and Roman numerals, brand/generic names of medication, basic math and analytical skills, Intermediate typing/keyboarding skills.
  • Behavior Competencies
    • Required: Independent worker, good interpersonal skills, excellent verbal and written communications skills, ability to work independently, work efficiently to meet deadlines and be flexible, detail-oriented, great time-management skill
Onco360 is a Closed door specialty pharmacy that focuses on patients who are currently undergoing cancer treatment. Our patients are important to us, so we always strive to meet and exceed their needs. We are seeking Pharmacy Benefit Verification Specialists who go above and beyond for our patients, and also passionate about helping others.

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