Job Title
Insurance Verification Coordinator I
Contract Type / Duration
Contract | 3 months (with possibility to extend or convert)
Location
Remote
Preferred locations: Missouri, Texas, Florida, Minnesota, Illinois, Georgia, South Carolina, North Carolina, Arizona, Michigan, California, Pennsylvania, Kentucky, Ohio, New York, Maryland
Work Hours
12:00 PM – 9:00 PM EST
Pay Rate
$18/hour (W-2)
Job Summary / Overview
The Insurance Verification Coordinator I is responsible for verifying patient insurance coverage, completing prior authorizations, and ensuring accurate reimbursement for prescribed therapies. This role involves frequent interaction with patients, physician offices, and insurance providers while maintaining high-quality documentation and service standards. Success in this role requires strong attention to detail, customer service skills, and experience working with insurance benefits and prior authorizations.
Top Required Skills (Ranked)
Insurance Verification / Managed Care Experience – Obtaining and interpreting benefits directly from health plans
Customer Service – Professional communication with patients, providers, and insurers
Call Center Experience – Handling high-volume inbound calls efficiently
Preferred Skills / Nice to Have
Prior authorization submission experience
Pharmacy or medical billing background
Knowledge of medical terminology
Experience working with physician offices or specialty medications
Proficiency in Microsoft Office
Education Requirement
High school diploma or equivalent
(Associate or Bachelor’s degree in a related field may substitute for experience)
Certifications
None required
Key Responsibilities
Verify insurance eligibility and document complete benefit details
Submit and manage prior authorizations, including gathering required clinical documentation
Determine patient financial responsibility based on insurance coverage
Coordinate benefits and ensure assignments of benefits are on file when required
Bill insurance providers for therapies rendered
Resolve claim rejections related to eligibility, coverage, or authorization issues
Identify and coordinate patient assistance programs (e.g., copay cards, third-party assistance)
Handle inbound calls from patients, provider offices, and insurance companies
Maintain accurate documentation of all related communications
Performance Expectations
Manage approximately 25+ referrals per day
Maintain 95% quality standards or higher
Strong attendance and reliability are essential
Candidate Requirements
1+ year of experience in insurance verification, medical billing, or related healthcare role
Hands-on experience verifying benefits and/or submitting prior authorizations
Strong professionalism reflected in resume and communication
Additional Notes
Candidate must be eligible for W-2 employment
No Corp-to-Corp (C2C) arrangements
Must be legally authorized to work in the U.S. without current or future sponsorship
Equal Opportunity Statement
The client is an equal opportunity employer. Employment decisions are made without regard to race, color, religion, sex (including pregnancy and gender identity), national origin, political affiliation, sexual orientation, marital status, disability, genetic information, age, military service, or any other non-merit-based factor.