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Remote Insurance Verification Jobs in Rochester Hills, MI

Talkiatry

Psychiatrist (Remote)

Detroit, MI · Remote

$325K - $375K/yr

Employer-paid health, dental, and vision insurance (up to 100% of premiums) * Malpractice coverage ... E-Verify Talkiatry participates in E-Verify and will provide the federal government with your Form ...

Apply Early

Talkiatry

Psychiatrist (Remote)

Detroit, MI · Remote

$325K - $375K/yr

Employer-paid health, dental, and vision insurance (up to 100% of premiums) * Malpractice coverage ... E-Verify Talkiatry participates in E-Verify and will provide the federal government with your Form ...

Apply Early

Talkiatry

Remote Psychiatrist (MD/DO) - Michigan

Detroit, MI · Remote

$325K - $375K/yr

Employer-paid health, dental, and vision insurance (up to 100% of premiums) * Malpractice coverage ... E-Verify Talkiatry participates in E-Verify and will provide the federal government with your Form ...

Apply Early

Talkiatry

Remote Psychiatrist (MD/DO) - Michigan

Warren, MI · Remote

$325K - $375K/yr

Employer-paid health, dental, and vision insurance (up to 100% of premiums) * Malpractice coverage ... E-Verify Talkiatry participates in E-Verify and will provide the federal government with your Form ...

Apply Early

Talkiatry

Remote Psychiatrist (MD/DO) - Michigan

Dearborn, MI · Remote

$325K - $375K/yr

Employer-paid health, dental, and vision insurance (up to 100% of premiums) * Malpractice coverage ... E-Verify Talkiatry participates in E-Verify and will provide the federal government with your Form ...

Apply Early

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All JobsRemote Insurance Verification JobsRemote Insurance Verification Jobs in Rochester Hills, MI

Remote Insurance Verification information

See Rochester Hills, MI salary details

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How much do remote insurance verification jobs pay per hour?

As of Jul 1, 2026, the average hourly pay for remote insurance verification in Rochester Hills, MI is $17.37, according to ZipRecruiter salary data. Most workers in this role earn between $15.05 and $18.61 per hour, depending on experience, location, and employer.

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

AspectRemote Insurance VerificationRemote Claims Processing Specialist
Primary RoleVerify insurance coverage and eligibilityReview and process insurance claims for reimbursement
Required SkillsKnowledge of insurance policies, data entry, attention to detailClaims review, documentation, problem-solving
Work EnvironmentRemote, healthcare or insurance companiesRemote, healthcare or insurance companies
CertificationsInsurance verification or billing certifications often preferredClaims processing certifications may be beneficial

Remote Insurance Verification and Remote Claims Processing Specialist roles both operate in the insurance and healthcare industries, often remotely. While verification focuses on confirming coverage details, claims processing involves reviewing and managing claims for reimbursement. Both roles require attention to detail and familiarity with insurance policies, but they differ in their specific responsibilities and certifications.

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 a solid understanding of health insurance policies, medical terminology, and experience with insurance verification processes, often supported by a high school diploma or relevant certification. Proficiency in insurance portals, electronic health record (EHR) systems, and spreadsheet software is typically required. Strong attention to detail, organizational skills, and effective communication are essential soft skills for handling sensitive patient data and coordinating with providers. These abilities are vital to ensure accurate insurance verification, prevent claim denials, and support smooth healthcare operations.

What are some common challenges faced in a remote insurance verification role, and how can I overcome them?

In a remote insurance verification role, one common challenge is navigating varying insurance policies and provider requirements, which can lead to delays or errors if not carefully reviewed. Communication can also be more complex when collaborating virtually with healthcare providers, patients, or insurance companies. To overcome these challenges, staying organized with detailed documentation, utilizing reliable communication tools, and proactively clarifying any uncertainties with team members or clients can help maintain efficiency and accuracy. Regular training and staying updated on industry changes also contribute to success in this role.

What is a Remote Insurance Verification Specialist?

A Remote Insurance Verification Specialist is a professional who works from a remote location to confirm patients' insurance coverage and benefits. They communicate with insurance companies, healthcare providers, and patients to ensure that medical procedures or services are covered by the patient's insurance plan. These specialists play a crucial role in preventing billing issues and ensuring that claims are processed accurately and efficiently. Their work helps healthcare organizations minimize denials and delays in reimbursement. The position typically requires strong communication skills, attention to detail, and familiarity with insurance policies and medical terminology.

What Are Remote Insurance Verification Jobs?

Remote insurance verification jobs include verification specialists, test claims supervisors, verification representatives, and verification clerks. The specific duties for these positions differ, but your basic responsibilities in any of these jobs overlap. In general, you are responsible for ensuring that a patient has coverage for a specific medical procedure, medication, or test. You check the patient’s benefits and communicate with the insurance provider to get authorization to complete the tests or administer the medication. Insurance verification workers can work for hospitals, pharmacies, clinics, or health groups.

More about Remote Insurance Verification jobs
What cities near Rochester Hills, MI are hiring for Remote Insurance Verification jobs? Cities near Rochester Hills, MI with the most Remote Insurance Verification job openings:
Remote Insurance Verification jobs near you
Central Authorization Specialist /Full Time/ Remote-Michigan Residents

Central Authorization Specialist /Full Time/ Remote-Michigan Residents

Corporate Services

Detroit, MI • Remote

$17.75 - $23.75/hr

Other

Posted 8 days ago

Job description

The purpose of the Central Authorization Specialist position is to centrally facilitate the successful procuring of insurance authorizations for ordered procedures and post-operative care. This will be done through quality validations of obtained authorizations as well as continuous education and opportunity feedback to a multi-disciplinary team with the underlying objective of managing the cost of care and providing timely and accurate information to payors'. The Central Authorization Specialist helps drive change by identifying areas where performance improvement is needed (e.g., day to day workflow, education, process improvements, patient satisfaction). The Central Authorization Specialist is accountable for a designated caseload and plans effectively in order to meet demands and support resources procuring authorizations. Under general supervision and in accordance with established policies and procedures the specific functions within this role include: Subject matter expertise of precertification and payor authorization processes. Ensure successful authorizations are procured by ordering physician offices through validation of work effort and education of procuring staff. Ensure feedback relevant to successful authorization procurement is obtained from back end coding, billing and denial management resources and distributed to ordering physicians and authorization procurement staff to promote continuous improvement. Application of process improvement methodologies. The responsibilities includes acting as a centralized resource for assigned specialty across all sites of practice to ensure standardized and consistent procurement of authorizations. EDUCATION/EXPERIENCE REQUIRED: High School or 3 - 5 years related experience and/or training; or equivalent combination of education and experience, required. Minimum of 3-5 years of experience in a medical clinic setting or training in a hospital or corporate setting; must be highly computer literate, required. Two years of experience related to healthcare insurance verification and/or billing required. Approximately two to three years progressively more responsible related work experience necessary in order to gain in-depth understanding or organizational policies, procedures and operations, in order to assume a variety of high-level administrative details. Coding knowledge. Knowledge of clinical terminology. Understanding of patient treatment plans for purposes of obtaining authorizations. Ability to interpret RN or Physician notes in order to facilitate obtaining authorizations. Ability to evaluate & communicate to RN/Physician staff additional requirements or roadblocks. Additional coursework in business, computers or health care administration, preferred. Experience in a medical or surgical specialty clinic, preferred. Ability to interpret insurance records and related documentation. Current working knowledge of hospital operations, utilization management, case management, and managed care reimbursement, preferred. General understanding of revenue cycle with an emphasis on billing, coding, charge capture and reimbursement, preferred. Organizational and time management skills, as evidenced by capacity to prioritize multiple tasks and role components. Ability to work independently and exercise sound judgment in interactions with physicians, payors, and patients and their families if required. Strong oral and written communication skills required. Strong analytical and data management. Ability to work with all levels of management. Strong interpersonal communication and negotiation skills and experience interacting with clinicians and finance personnel.

EDUCATION/EXPERIENCE REQUIRED:

  • High school diploma or 3-5 years of related experience/training (or equivalent combination), required
  • Minimum 3-5 years of experience in a medical clinic setting or training in a hospital/corporate setting; must be highly computer literate, required
  • Minimum 2 years of experience in healthcare insurance verification and/or billing, required
  • 2-3 years of progressively responsible experience with organizational policies, procedures, and operations to handle high-level administrative responsibilities
  • Knowledge of coding and clinical terminology
  • Understanding of patient treatment plans for obtaining authorizations
  • Ability to interpret RN/Physician notes to facilitate authorizations
  • Ability to identify and communicate additional requirements or roadblocks to clinical staff
  • Ability to interpret insurance records and related documentation
  • Strong understanding of administrative workflows and healthcare processes

Preferred Qualifications:

  • Additional coursework in business, computers, or healthcare administration
  • Experience in a medical or surgical specialty clinic
  • Working knowledge of hospital operations, utilization management, case management, and managed care reimbursement
  • General understanding of the revenue cycle (billing, coding, charge capture, reimbursement)

Skills & Competencies:

  • Strong organizational and time management skills; ability to prioritize multiple tasks
  • Ability to work independently and exercise sound judgment
  • Strong oral and written communication skills
  • Strong analytical and data management skills
  • Ability to work with all levels of management
  • Strong interpersonal and negotiation skills, with experience interacting with clinicians and finance personnel
 
 
 
Additional Information
  • Organization: Corporate Services
  • Department: CBO Central Authorization Unit
  • Shift: Day Job
  • Union Code: Not Applicable

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