Verification of Benefits/Insurance Verification Specialist

Accountabilities • Insurance Benefits Verification: Verify patient insurance eligibility, coverage, benefits, and policy details to ensure information is accurate and complete before services are provided or claims are submitted.

• Patient and Provider Communication: Communicate with patients, healthcare providers, and insurance representatives to clarify coverage details, confirm benefits, and address insurance-related questions.

• Documentation and Recordkeeping: Accurately record verification results, update patient information, and maintain complete documentation in electronic health records (EHR) systems and designated verification platforms.

• Discrepancy Resolution: Identify inconsistencies in insurance information, investigate coverage issues, and follow up on pending verifications to support timely resolution.

• Medical Billing Support: Collaborate with billing and other internal teams to ensure verified insurance information supports accurate claims preparation and timely submission.

• Policy and Compliance Management: Stay informed about insurance policies, payer requirements, and verification procedures while adhering to established operational standards and healthcare regulations.

• Workflow Coordination: Manage verification requests efficiently, prioritize workloads, and maintain turnaround times to support seamless healthcare administrative operations.

• Team Collaboration and Training: Work with colleagues across departments to improve processes and provide guidance or training to junior team members when required.

• Quality Assurance: Review verification information for accuracy, completeness, and consistency, helping reduce administrative errors and prevent avoidable billing delays.

Requirements

• Professional Experience: At least 3 years of experience in insurance verification, verification of benefits, medical billing, or a closely related healthcare administration role.

• Medical Billing Knowledge: Strong understanding of medical billing and coding practices, insurance eligibility, benefit structures, coverage limitations, and claims processing workflows.

• EHR and Verification Systems: Proficiency in electronic health records (EHR) systems and insurance verification software, with the ability to navigate digital platforms and maintain accurate patient records.

• Insurance Verification Expertise: Ability to interpret insurance information, confirm patient benefits, identify discrepancies, and follow up effectively with relevant parties.

• Healthcare Compliance: Knowledge of HIPAA regulations, patient confidentiality requirements, and applicable healthcare data protection and compliance standards.

• Communication Skills: Excellent written and verbal communication skills, with the ability to interact professionally with patients, healthcare providers, and internal stakeholders.

• Analytical and Problem-Solving Abilities: Strong attention to detail and the ability to investigate discrepancies, assess information accurately, and resolve issues efficiently.

• Organization and Time Management: Ability to handle multiple verification requests, prioritize tasks, meet deadlines, and maintain consistent accuracy in a fast-paced environment.

• Independent Working Style: Comfortable working remotely with minimal supervision while remaining accountable for productivity, documentation quality, and timely follow-up.

• Teamwork and Adaptability: Willingness to collaborate across departments, adapt to changing workflows, and contribute to continuous process improvement.

Benefits

• Remote Work Opportunity: Work remotely from India.

• Healthcare Operations Experience: Develop and apply specialized expertise in insurance verification, patient benefits, and medical billing workflows.

• Cross-Functional Collaboration: Work with healthcare providers, patients, and internal teams to support efficient administrative and claims processes.

• Professional Development: Opportunities to strengthen knowledge of insurance policies, EHR systems, verification tools, and healthcare compliance practices.

• Meaningful Contribution: Help improve billing accuracy, reduce administrative delays, and support a more seamless healthcare experience.

How Jobgether works: We use an AI-powered matching process to ensure your application is reviewed quickly, objectively, and fairly against the role's core requirements. Our system identifies the top-fitting candidates, and this shortlist is then shared directly with the hiring company. The final decision and next steps (interviews, assessments) are managed by their internal team. We appreciate your interest and wish you the best!  Why Apply Through Jobgether?    Data Privacy Notice: By submitting your application, you acknowledge that Jobgether will process your personal data to evaluate your candidacy and share relevant information with the hiring employer. This processing is based on legitimate interest and pre-contractual measures under applicable data protection laws (including GDPR). You may exercise your rights (access, rectification, erasure, objection) at any time.     #LI-CL1