Insurance Verification Coordinator

Saint Louis, MI - USA

Monthly Salary: Not Disclosed

Posted on: 4 days ago

Vacancies: 1 Vacancy

Job Summary

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.

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 Oh...