2

Remote Insurance Verification Jobs in Springfield, MA

Psychiatrist (Remote)

Springfield, MA · 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 ...

Psychiatrist (Remote)

Springfield, MA · 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 ...

Psychiatrist (Remote)

Springfield, MA · 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 ...

next page

Showing results 1-20

Remote Insurance Verification information

See Springfield, MA salary details

$12

$18

$26

How much do remote insurance verification jobs pay per hour?

As of Jun 22, 2026, the average hourly pay for remote insurance verification in Springfield, MA is $18.80, according to ZipRecruiter salary data. Most workers in this role earn between $16.30 and $20.14 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.

What are popular job titles related to Remote Insurance Verification jobs in Springfield, MA? For Remote Insurance Verification jobs in Springfield, MA, the most frequently searched job titles are:
What job categories do people searching Remote Insurance Verification jobs in Springfield, MA look for? The top searched job categories for Remote Insurance Verification jobs in Springfield, MA are:
What cities near Springfield, MA are hiring for Remote Insurance Verification jobs? Cities near Springfield, MA with the most Remote Insurance Verification job openings:
Infographic showing various Remote Insurance Verification job openings in Springfield, MA as of June 2026, with employment types broken down into 36% Full Time, 51% Part Time, and 13% Contract. Highlights an 95% Physical, 1% Hybrid, and 4% Remote job distribution, with an average salary of $39,110 per year, or $18.8 per hour.
Pharmacy Benefit Verification Specialist

Pharmacy Benefit Verification Specialist

Onco360

Hartford, CT • Remote

$24/hr

Full-time

Medical, Dental, Vision, Life, Retirement, PTO

Posted 3 days ago


Job description

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.
Full-Time remote position working out of the State of Connecticut.
Shift time: Monday through Friday 9:00am to 5:30 pm EST.
**Starting salary at $24HR and up**
Sign-On Bonus: $5,000 for employees starting before July 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.