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Remote Medical Insurance Verification Jobs in Illinois

Remote Medical Assistant- Healthguide

Chicago, IL · On-site +1

$18.25 - $23.50/hr

We provide Life and Disability insurance for those "just in case" moments. Additionally, we offer ... As a remote-first organization handling sensitive healthcare data, Guidehealth verifies candidate ...

Remote Insurance Representative | Flexible Schedule | Commission-Based This position offers ... Comprehensive benefits package including medical, dental, and prescription coverage * Ongoing ...

Remote Insurance Representative | Flexible Schedule | Commission-Based This position offers ... Comprehensive benefits package including medical, dental, and prescription coverage * Ongoing ...

Remote Insurance Representative | Flexible Schedule | Commission-Based This position offers ... Comprehensive benefits package including medical, dental, and prescription coverage * Ongoing ...

Remote Insurance Representative | Flexible Schedule | Commission-Based This position offers ... Comprehensive benefits package including medical, dental, and prescription coverage * Ongoing ...

Remote Insurance Representative | Flexible Schedule | Commission-Based This position offers ... Comprehensive benefits package including medical, dental, and prescription coverage * Ongoing ...

Remote Insurance Representative | Flexible Schedule | Commission-Based This position offers ... Comprehensive benefits package including medical, dental, and prescription coverage * Ongoing ...

New

Remote Insurance Representative | Flexible Schedule | Commission-Based This position offers ... Comprehensive benefits package including medical, dental, and prescription coverage * Ongoing ...

New

Remote Insurance Representative | Flexible Schedule | Commission-Based This position offers ... Comprehensive benefits package including medical, dental, and prescription coverage * Ongoing ...

New

Remote Insurance Representative | Flexible Schedule | Commission-Based This position offers ... Comprehensive benefits package including medical, dental, and prescription coverage * Ongoing ...

New

Remote Insurance Representative | Flexible Schedule | Commission-Based This position offers ... Comprehensive benefits package including medical, dental, and prescription coverage * Ongoing ...

New

Remote Insurance Representative | Flexible Schedule | Commission-Based This position offers ... Comprehensive benefits package including medical, dental, and prescription coverage * Ongoing ...

Remote Insurance Representative | Flexible Schedule | Commission-Based This position offers ... Comprehensive benefits package including medical, dental, and prescription coverage * Ongoing ...

Remote Insurance Representative | Flexible Schedule | Commission-Based This position offers ... Comprehensive benefits package including medical, dental, and prescription coverage * Ongoing ...

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Remote Medical Insurance Verification information

What are the key skills and qualifications needed to thrive in remote medical insurance verification?

To excel in Remote Medical Insurance Verification, you need a solid understanding of medical terminology, insurance policies, and healthcare billing procedures, often supported by a high school diploma or relevant healthcare certification. Familiarity with electronic health record (EHR) systems, insurance portals, and claims management software is highly valued. Attention to detail, time management, and strong communication skills distinguish top performers in this role. These competencies are essential to accurately verify insurance coverage, prevent billing errors, and facilitate smooth patient access to care.

What is a remote medical insurance verification?

A Remote Medical Insurance Verification job involves reviewing and confirming patients' insurance coverage, benefits, and eligibility for medical services. This role typically requires communicating with insurance companies, healthcare providers, and patients to ensure accurate billing and claim processing. It may also include verifying policy details, pre-authorizations, and resolving discrepancies. The position is performed remotely, often requiring experience with medical billing software and knowledge of insurance policies. Strong attention to detail and customer service skills are essential for success in this role.

What does a remote medical insurance verification do?

A typical day in Remote Medical Insurance Verification involves reviewing patient information, verifying active insurance coverage with providers, and updating electronic records to ensure accuracy. You’ll regularly communicate with healthcare providers, insurance companies, and sometimes patients to resolve eligibility or authorization questions. Collaboration with billing and administrative teams is common to help manage claims and prevent denials. Working remotely means self-motivation, organization, and reliable internet access are important, but you’ll usually have support from a virtual team and established protocols. This role offers a dynamic workflow where attention to detail and timely follow-up have a direct impact on patient care and revenue cycle efficiency.

What are popular job titles related to Remote Medical Insurance Verification jobs in Illinois? For Remote Medical Insurance Verification jobs in Illinois, the most frequently searched job titles are:
What job categories do people searching Remote Medical Insurance Verification jobs in Illinois look for? The top searched job categories for Remote Medical Insurance Verification jobs in Illinois are:
What cities in Illinois are hiring for Remote Medical Insurance Verification jobs? Cities in Illinois with the most Remote Medical Insurance Verification job openings:
Infographic showing various Remote Medical Insurance Verification job openings in Illinois as of August 2026, with employment types broken down into 1% As Needed, 78% Full Time, 15% Part Time, and 6% Contract. Highlights an 91% Physical, 1% Hybrid, and 8% Remote job distribution.

Remote Insurance Verification Specialist, Specialty (Florida)

Walgreens

Deerfield, IL • On-site, Remote

$16.50 - $22/hr

Full-time

Medical

Re-posted 14 days ago


Walgreens rating

5.5

Company rating: 5.5 out of 10

Based on 2,189 frontline employees who took The Breakroom Quiz

95th of 112 rated pharmacies


Job description


Job Summary:
Responsible for verifying patient eligibility, coordinating benefits, running test claims, and determining patient coverage/responsibility for services. Handles inbound and outbound calls with customers, physician offices, patients or third-party providers about the company's products or services following standard SOPs and procedures, working under direct supervision. Ensures all contacts receive efficient and courteous service.
Job Responsibilities:
  • Respond to all levels of inbound Pharmacy Benefit Manager (PBM) and major medical insurance related phone calls.
  • Resolves questions and problems submitted by customers and Pharmacy Benefit Manager (PBM) following established guidelines and standard SOPs and procedures. Utilizes all available information to choose the best solution and resolve customer and PBM concerns.
  • Requests and loads PBM and/or Major Medical insurance plans.
  • Processes all non-clinical PBM rejections which may include but not limited to rejections for plan limits, coverage termed or prior authorization.
  • Assists physicians in the prior authorization process including initiation of prior authorizations.
  • May be cross-trained and/or work on Major Medical (MM) and Specialized PBM Plans.
  • Verifies benefits for Major Medical via online resources or over the phone. Confirms network status, reviews FDA guidelines, and prior authorization requirements to ensure payment of claims.
  • Resolves questions and problems submitted by customers and Major Medical plans following established guidelines and standard SOPs and procedures. Utilizes all available information to choose best solutions and resolves customer and plan covers.
  • Facilitates the reimbursement windshields for PBM major medical claims.
  • Identifies and assesses individual customer or patient needs and provide education on or assist with grant applications, complex funding needs, commercial copay assistance enrollment along with appropriate action to satisfy those needs.
  • Provides primary support and expertise for specialized programs such as the patient assistance program or special handling.
  • Manages Pharma requirements including but not limited to warm transfers, bridge/quick start, enhanced prior authorization and appeal support.
  • May administer order queue such as Submission Problems or Waiting for Payment.
  • Documents contact interactions, records details, complaints, comments, and actions taken.
About Walgreens
Founded in 1901, Walgreens (www.walgreens.com) proudly serves nearly 9 million customers and patients each day across its approximately 8,500 stores throughout the U.S. and Puerto Rico. Walgreens has approximately 220,000 team members, including nearly 90,000 healthcare service providers, and is committed to being the first choice for pharmacy, retail and health services, building trusted relationships that create healthier futures for customers, patients, team members and communities.
External Basic Qualifications
  • High school diploma/GED
  • Experience providing customer service to internal and external customers, including meeting quality standards for services, and evaluation of customer satisfaction in healthcare, specialty pharmacy, PBM, call center setting or other related industry
  • Ability to communicate clearly and effectively (written and verbal). Good interpersonal skills with the ability to communicate in a diplomatic and confidential manner
  • Basic level PC skills, MS Windows, MS Office Suite and/or other similar operating/software programs (for example: start up and shut down computer, use mouse to point and click, start and close programs, switch between programs, save files, print documents and/or access information on-line).

Preferred Qualifications
  • Experience with providing customer service related to adherence, complex disease states quality, After Call Work (ACW), etc.
  • Experience in identifying operational issues and recommending and implementing strategies to resolve problems.
  • Intermediate level PC skills, MS Windows, MS Office Suite and/or other similar operating/software programs (for example: start up and shut down computer, use mouse to point and click, start and close programs, switch between programs, save files, print documents and/or access information on-line).
We will consider employment of qualified applicants with arrest and conviction records.
The Salary below is being provided to promote pay transparency and equal employment opportunities at Walgreens. The actual hourly salary within this range that you will be offered will depend on a variety of factors including geography, skills and abilities, education, experience and other relevant factors. This role will remain open until filled. To review benefits, please click here jobs.walgreens.com/benefits. If you are applying on a job board or unable to click on the link, please copy and paste this URL into your browser jobs.walgreens.com/benefits

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