verification specialist

DATAMARK

<div>Join the DATAMARK, Inc. Team as an Insurance Verification Specialist!
Are you looking for an exciting opportunity to utilize your data entry skills? Do you thrive in a detail-oriented environment? If so, we have the perfect role for you! As an Insurance Verification Specialist at DATAMARK, you'll play a vital role in the success of our operations by ensuring accurate and efficient back-office support.
We are seeking a detail-oriented and performance-driven Insurance Verification Specialist to support patients prescribed complex and high-cost drug therapies. In this role, you will be responsible for verifying insurance coverage, conducting research, and resolving coverage-related issues to ensure timely and accurate prescription processing.
This is a back-office position that requires strong analytical skills, efficiency, and comfort with outbound calls to insurance providers and patients.<ul><li>
Verify insurance coverage for new and existing patients to support timely prescription fulfillment</li><li>
Pull and review customer accounts to assess eligibility, benefits, and coverage limitations
</li><li>Conduct detailed research across multiple systems and portals
</li><li>Initiate and complete outbound calls (OB calls) to insurance companies, pharmacies, and other partners to resolve coverage issues
</li><li>Accurately document findings, decisions, and next steps in internal systems
</li><li>Meet or exceed productivity expectations while maintaining accuracy
</li><li>Identify and escalate complex cases or discrepancies as appropriate
</li><li>Support patients requiring specialty, high-cost, or complex therapies through thorough and timely insurance determination</li></ul> 

Requirements 
<ul><li>
Previous experience in insurance verification, benefits investigation, pharmacy operations, or healthcare administration preferred</li><li>
Knowledge of medical insurance terminology (deductibles, copays, prior authorizations, etc.)
</li><li>Strong attention to detail and ability to process high volumes of information accurately</li><li>
Excellent reading comprehension and research abilities</li><li>
Comfortable making outbound calls to resolve insurance or coverage-related issues</li><li>
Strong problem-solving and critical-thinking skills</li><li>
Ability to manage productivity metrics in a fast-paced environment</li><li>
Basic computer proficiency and experience navigating multiple systems</li></ul> 

Benefits 
<ul><li>
Health Care Plan (Medical, Dental &amp; Vision)</li><li>
Retirement Plan (401k, IRA)</li><li>
Life Insurance (Basic, Voluntary &amp; AD&amp;D)</li><li>
Paid Time Off
</li><li>Short Term &amp; Long Term Disability</li><li>
Training &amp; Development</li><li>
Wellness Resources</li><li>
$16.50 per hour</li></ul></div>

Insurance Verification Specialist

Equip

<div>About Equip
Equip is the leading virtual, evidence-based eating disorder treatment program on a mission to ensure that everyone with an eating disorder can access treatment that works. Created by clinical experts in the field and people with lived experience, Equip builds upon evidence-based treatments to empower individuals to reach lasting recovery. All Equip patients receive a dedicated care team, including a therapist, dietitian, physician, and peer and family mentor. The company operates in all 50 states and is partnered with most major health insurance plans. Learn more about our strong outcomes and treatment approach at www.equip.health.
Founded in 2019, Equip has been a fully virtual company since its inception and is proud of the highly-engaged, passionate, and diverse Equisters that have created Equip&rsquo;s culture. Recognized by Time as one of the most influential companies of 2023, along with awards from Linkedin and Lattice, we are grateful to Equipsters for building a sustainable treatment program that has served thousands of patients and families.
About the role
The Insurance Verification Specialist will be responsible for managing initial benefit/eligibility verifications for Equip patients during the admissions process as well as changes of insurance during a patient&rsquo;s treatment. The Insurance Verification Specialist will act as a liaison between insurance companies and Equip&rsquo;s Admissions, Utilization Management, and Finance teams and ensure accurate treatment information is communicated to both payors and internal stakeholders.
Responsibilities<ul><li>
Develop collaborative relationships with insurance companies/payors to verify benefits and eligibility.</li><li>
Enter and update patient demographics, guarantor, and insurance information in company systems.</li><li>
Respond to inquiries from insurance companies and internal team members.</li><li>
Work collaboratively with the RCM, finance, accounting departments, admissions, and utilization management departments.</li><li>
Maintain confidentiality of patient and business information.</li><li>
Perform other duties as assigned.</li></ul>
Qualifications<ul><li>
3+ years of healthcare experience with billing, insurance verification, or utilization management required.</li><li>
Knowledge and experience with EMR and billing software programs required.</li><li>
Strong professional communication and interpersonal skills.</li><li>
Familiarity with HIPAA privacy requirements for patient information. Ability to maintain and protect confidential information.</li><li>
Demonstrated ability to consistently follow processes and procedures.</li><li>
Strong attention to detail.</li><li>
Excellent organizational awareness, adaptability, and conflict management skills.</li><li>
Comfortable working in a fast-paced, startup environment and navigating ambiguity.</li><li>
A passion for living Equip&rsquo;s mission and values.</li></ul>
Physical Demands
Work is performed 100% from home with no requirement to travel. This is a stationary position that requires the ability to operate standard office equipment and keyboards as well as to talk or hear by telephone. Sit or stand as needed.
At Equip, Diversity, Equity, Inclusion and Belonging (DEIB) are woven into everything we do. At the heart of Equip&rsquo;s mission is a relentless dedication to making sure that everyone with an eating disorder has access to care that works regardless of race, gender, sexuality, ability, weight, socio-economic status, and any marginalized identity. We also strive toward our providers and corporate team reflecting that same dedication both in bringing in and retaining talented employees from all backgrounds and identities. We have an Equip DEIB council, Equip For All; also referred to as EFA. EFA at Equip aims to be a space driven by mutual respect, and thoughtful, effective communication strategy - enabling full participation of members who identify as marginalized or under-represented and allies, amplifying diverse voices, creating opportunities for advocacy and contributing to the advancement of diversity, equity, inclusion, and belonging at Equip.
As an equal opportunity employer, we provide equal opportunity in all aspects of employment, including recruiting, hiring, compensation, training and promotion, termination, and any other terms and conditions of employment without regard to race, ethnicity, color, religion, sex, sexual orientation, gender identity, gender expression, familial status, age, disability, weight, and/or any other legally protected classification protected by federal, state, or local law.
Our dedication to equitable access, which is core to our mission, extends to how we build our &quot;village.&quot; In line with our commitment to Diversity, Equity, Inclusion, and Belonging (DEIB), we are dedicated to an accessible hiring process where all candidates feel a true sense of belonging. If you require a reasonable accommodation to complete your application, interview, or perform the essential functions of a role, we invite you to reach out to our People team at accommodations@equip.health.
#LI-Remote
Compensation Range: $56K - $65K</div>

eServMD Pvt. Ltd.

eServMD, a leading healthcare services company, is seeking a highly skilled and detail-oriented Medical Billing VOB to join our team. If you have a strong background in medical billing, a keen eye for accuracy, and a passion for ensuring compliance, we invite you to apply for this exciting opportunity.<ul><li>Contact insurance companies to verify patient insurance coverage</li><li>Maintain a system for initial and subsequent verification of benefits</li><li>Prepare call notes, initiate or execute the corrective measures</li><li>Record the actions and post the notes on the customer&rsquo;s revenue cycle platform.</li><li>Use appropriate client specific call note standards for documentation</li><li>Be in the center of ethical behavior and never on the sidelines</li></ul>Requirement:<ul><li>Should have worked as a VOB Specialist for at least 2+ years with medical billing service providers.</li><li>Experience can be anywhere between 1-2 years.</li><li>Good knowledge of revenue cycle, Eligibility &amp; Benefits Verification and Prior Authorization</li><li>Positive attitude to solve problems</li><li>Strong communication skills</li><li>Graduate degree in any field</li></ul>Location: Park Road &ndash; Islamabad (Onsite)Contact # 0317-1178905Shift: 5PM - 2AM (US Timings)Job Type: Full-timeJob Type: Full-timeWork Location: In person

Eligibility & Benefits Verification Specialist

AssistRx

<div>
 
 Job Description:
 
 The purpose of this position is to
 
 help patients get access to the medications
 
 and therapies that they need.
 
 
 
 Job Details Snapshot:
 
 
 
 <ul>
 <li>
 Compensation: $19-22/hr
 </li>
 <li>
 Location(s): 9400 Southpark Center Loop, Suite 200, Orlando, Florida 32819
 </li>
 <li>
 Schedule Requirements: Monday through Friday; 10:00pm-7:00pm or 11:00am-8:00pm EST post-training schedule offered depending on availability
 </li>
 <li>
 Remote Opportunity: The opportunity is primarily remote, but may require onsite attendance as needed
 
 
 </li>
 </ul>
 
 About AssistRx:
 
 Voted
 
 Top Work Places in Orlando 3 years in a row
 
 , AssistRx understands that the key to success is our fantastic team members. AssistRx has engineered the perfect blend of technology and talent to deliver best in class results. We believe that access to specialty therapies transforms lives and is achieved through the powerful combination of our people and technology. Want to know more? Follow us on LinkedIn to find out how our team members are
 
 #TransformingLives.
 
 
 
 
 Why Choose AssistRx:
 
 
 
 <ul>
 <li>
 Work Hard, Play Hard: Preloaded PTO: 100 hours (12.5 days) PTO upon employment, increasing to 140 hours (17.5 days) upon anniversary. Tenure vacation bonus: $1,000 upon 3-year anniversary and $2,500 upon 5-year anniversary
 </li>
 <li>
 Impactful Work: Join a team that is at the forefront of revolutionizing healthcare by improving patient access to essential medications
 </li>
 <li>
 Flexible Culture: Many associates earn the opportunity to work a hybrid schedule after 120 days after training. Enjoy a flexible and inclusive work culture that values work-life balance and diverse perspectives
 </li>
 <li>
 Career Growth: We prioritize a "promote from within mentality". We invest in our employees' growth and development via our Advance Gold program, offering opportunities to expand skill sets and advance within the organization
 </li>
 <li>
 Innovation: Contribute to the development of groundbreaking solutions that address complex challenges in the healthcare industry
 </li>
 <li>
 Collaborative Environment: Work alongside talented professionals who are dedicated to collaboration, learning, and pushing the boundaries of what's possible. Tell your friends about us! If hired, receive a $750 referral bonus!
 
 
 </li>
 </ul>
 
 A Day in the Life as a Insurance Verification Specialist:
 
 
 
 This role works directly with healthcare providers &amp; insurance plans/payers to gather information about a patient's insurance and the coverage provided for a specific pharmaceutical product. The
 
 Insurance Verification Specialist
 
 will support the healthcare providers addressing questions regarding coding and billing and navigating complex reimbursement issues. This position also provides support for
 
 Prior Authorizations
 
 (PA) for an assigned caseload and helps navigate the appeals process to access medications.
 
 
 <ul>
 <li>
 Ensure cases move through the process as required in compliance with company requirements and the organization's defined standards and procedures; in a manner that provides the best level of service and quality
 </li>
 <li>
 Conduct benefit investigations for patients by making outbound phone call to payers to verify patient insurance benefit information, navigate complex reimbursement barriers and seek resources to overcome the barriers
 </li>
 <li>
 Verify patient specific benefits and document specifics including coverage, cost share and access/provider options
 </li>
 <li>
 Identify any coverage restrictions and details on how to expedite patient access
 </li>
 <li>
 Document and initiate prior authorization process and claims appeals
 </li>
 <li>
 Report any reimbursement trends or delays in coverage to management
 </li>
 <li>
 Act as a liaison for field representatives, health care providers and patients
 
 
 </li>
 </ul>
 
 Requirements
 
 
 
 
 Qualifications to be a Insurance Verification Specialist:
 
 
 
 <ul>
 <li>
 In-depth understanding and experience with Major Medical &amp; Pharmacy Benefit Coverage
 </li>
 <li>
 2 to 3 years of benefit investigation involving the analysis and interpretation of insurance coverage
 </li>
 <li>
 2 to 3 years of experience interacting with healthcare providers in regard to health insurance plan requirements
 </li>
 <li>
 Excellent verbal communication skills and grammar
 </li>
 <li>
 Salesforce system experience preferred
 
 
 </li>
 </ul>
 
 Benefits
 
 
 
 Want to learn more about what employee benefits AssistRx offers? Here are some additional benefits that our employees enjoy!
 
 
 <ul>
 <li>
 Medical, dental, vision, life, &amp; short-term disability insurance
 </li>
 <li>
 Teledoc services for those enrolled in medical insurance
 </li>
 <li>
 Supportive, progressive, fast-paced environment
 </li>
 <li>
 Competitive pay structure
 </li>
 <li>
 Matching 401(k) with immediate vesting
 </li>
 <li>
 Legal insurance
 
 
 </li>
 </ul>
 Wondering how we recognize our employees for delivering best in class results? Here are some of the awards that our employees receive throughout the year!
 
 
 <ul>
 <li>
 #TransformingLives Honor: This quarterly award program is a peer to peer honor that recognizes and highlights some of the amazing ways that our team members are transforming lives for patients on a daily basis
 </li>
 <li>
 Values Award: This quarterly award program recognizes individuals who exhibit one, or many, of our core company values; Excellence, Winning, Respect, Inspiration, and Teamwork
 </li>
 <li>
 Vision Award: This annual award program recognizes an individual who has gone above and beyond to support the AssistRx vision to transform lives through access to therapy
 
 
 </li>
 </ul>
 AssistRx, Inc. is proud to be an Equal Opportunity Employer. All qualified applicants will receive consideration without regard to race, religion, color, sex (including pregnancy, gender identity, and sexual orientation), parental status, national origin, age, disability, family medical history or genetic information, political affiliation, military service, or other non-merit based factors, or any other protected categories protected by federal, state, or local laws.
 
 
 All offers of employment with AssistRx are conditional based on the successful completion of a pre-employment background check.
 
 
 In compliance with federal law, all persons hired will be required to verify identity and eligibility to work in the United States and to complete the required employment eligibility verification document form upon hire. Sponsorship and/or work authorization is not available for this position.
 
 
 AssistRx does not accept unsolicited resumes from search firms or any other vendor services. Any unsolicited resumes will be considered property of AssistRx and no fee will be paid in the event of a hire.
</div>

Insurance Verification Specialist - Specialty Pharmacy

Pain and Spine

Job Purpose: In this role, you complete authorizations and referrals for our medical services. In addition, you verify information provided by their referring physicians and verify their insurance coverage. You also monitor the schedule for our add-on patients, ensuring there are no conflicts and that we have the prior authorization we need to move forward with their appointment or procedure.Insurance Coordinator Job Duties: This list may not include all of the duties assigned<ul><li>Verify insurance benefits for appointments and procedures </li></ul><ul><li>Complete authorizations and referrals for services, including appointments and procedures</li></ul><ul><li>Notify patients of deductibles and coinsurance when necessary</li></ul><ul><li>Review patient's medical history and insurance coverage for approval</li></ul><ul><li>Contact referring physicians for additional information as needed</li></ul><ul><li>Input new patient insurance and update information in EMR system as needed</li></ul><ul><li>Monitor schedule for potential issues</li></ul><ul><li>Obtain authorization for imaging studies (MRI, CT)</li></ul><ul><li>Assist with other clerical tasks as needed</li></ul><ul><li>Utilization of online authorization sites such as RadMD, NIA, Evicore and other Insurance specific provider resources</li></ul><ul><li>Maintains patient confidentiality and follows HIPAA Guidelines.</li></ul><ul><li>Display a consistently positive, cooperative, self-motivated, courteous and professional attitude.</li></ul><ul><li>Performs other duties as assigned</li></ul><ul><li>Coordinates peer to peer conversations between insurance companies and physicians when needed.</li></ul><ul><li>Provides coverage for front desk as needed</li></ul>*Skills/Qualifications: Multi-tasking, Flexibility, Telephone Skills, Customer Service, Time Management, Organization, Attention to Detail, Scheduling, Word Processing , Professionalism, Quality Focus*Job Type: Full-timePay: $20.00 - $25.00 per hourBenefits:<ul><li>401(k)</li><li>401(k) matching</li><li>Dental insurance</li><li>Employee discount</li><li>Health insurance</li><li>Paid time off</li><li>Vision insurance</li></ul>Work Location: In person

The Eye Group

Join Our Growing Team!We are looking for a bright, compassionate, and upbeat team member to join our growing private optometry practice. Our office is family-focused, prevention-oriented, and deeply committed to delivering exceptional eye care in a warm, welcoming environment. We take our work seriously, but we also believe that having fun, supporting one another, and building real relationships with our patients is what makes a great practice thrive.This is an excellent opportunity for someone who enjoys helping people, values teamwork, and wants to grow personally and professionally within a long-term role. We are seeking a team member who aligns with our culture, takes pride in their work, and wants to be part of a practice that truly cares about its patients and its staff.Job Summary The Insurance Verification Specialist is responsible for confirming patients&rsquo; vision and medical insurance benefits prior to appointments to ensure accuracy, transparency, and a smooth patient experience. This role also supports front desk operations as needed, including assisting with patient check-in, scheduling, and communication.What You Will Do<ul><li>Verify vision and medical insurance eligibility prior to patient appointments.</li><li>Determine coverage details including copays, deductibles, allowances, and frequency limits.</li><li>Confirm benefits for exams, contact lenses, glasses, and medical services.</li><li>Communicate insurance coverage and estimated out-of-pocket costs to patients.</li><li>Accurately document benefit information in the practice management system</li><li>Obtain prior authorizations when required.</li><li>Coordinate with clinical and billing teams to ensure proper information flow.</li><li>Assist with answering phones, scheduling appointments, and general front office support.</li><li>Help with patient check-in and check-out when needed.</li><li>Provide a friendly, professional experience for patients at all points of contact.</li><li>Educate patients on the importance of routine and medical eye care.</li></ul>Qualifications<ul><li>High school diploma or equivalent required</li><li>Strong communication and customer service skills</li><li>Excellent attention to detail and organizational ability</li><li>Ability to multitask in a fast-paced environment.</li><li>Positive attitude and team-oriented mindset</li></ul>Preferred (but not required)<ul><li>Experience in a medical or optometry office</li><li>Familiarity with vision plans such as VSP and EyeMed</li><li>Experience with electronic health records or scheduling systems</li></ul>Why Join Our Practice We are a high-performing private optometry office that delivers state-of-the-art primary and medical eye care. Our experienced team provides services including primary care, medical therapeutics, contact lens fittings, pre- and post-operative care, and eyewear selection, all within a calm, organized, and patient-focused environment. We pride ourselves on providing excellent care without the stress and chaos often found in larger corporate settings.We also value work-life balance. There are no evenings or weekends, allowing you to maintain consistency and time outside of work.Compensation and Benefits<ul><li>Full-time position</li><li>Health, vision, and dental insurance</li><li>Paid time off</li><li>Paid holidays including New Year&rsquo;s Day, Memorial Day, Fourth of July, Labor Day, Thanksgiving, and Christmas</li><li>Employee discounts</li></ul>Schedule<ul><li>Monday through Friday</li><li>Eight-hour shifts</li></ul>If you are looking to start or continue a meaningful healthcare career in a supportive, upbeat, and well-respected optometry practice, we would love to hear from you.Pay: From $1.00 per hourBenefits:<ul><li>Dental insurance</li><li>Employee discount</li><li>Health insurance</li><li>Paid time off</li><li>Parental leave</li><li>Professional development assistance</li><li>Vision insurance</li></ul>Work Location: In person

Medical Insurance Verification Specialist

Landmark Hospitality Group etc...

JOB SUMMARYThe Workers&rsquo; Compensation Insurance Verification Specialist is responsible for verifying and documenting workers&rsquo; compensation insurance coverage for patients receiving care at our clinics. This role ensures accurate billing, proper claim handling, and compliance with Texas workers&rsquo; compensation regulations by confirming coverage details prior to patient visits.RESPONSIBILITIES<ul><li>Verify workers&rsquo; compensation insurance coverage for injured workers prior to appointments and services.</li><li>Collect and confirm claim details, including employer information, insurance carrier, claim number, and adjuster contact information.</li><li>Communicate with employers, insurance carriers, and third-party administrators (TPAs) to validate active coverage and authorization requirements.</li><li>Ensure all workers&rsquo; compensation documentation is complete and accurate before patient treatment or billing.</li><li>Enter and update insurance and claim information in the clinic&rsquo;s electronic health record (EHR) and billing systems.</li><li>Identify and resolve discrepancies in coverage, eligibility, or claim details.</li><li>Coordinate with front desk staff, medical providers, and billing departments to ensure proper handling of workers&rsquo; compensation cases.</li><li>Assist with obtaining treatment authorizations when required.</li><li>Maintain compliance with Texas workers&rsquo; compensation guidelines and clinic policies.</li><li>Protect patient confidentiality in accordance with HIPAA regulations.</li></ul>EDUCATION<ul><li>High school diploma or equivalent required; additional healthcare or insurance-related education preferred.</li><li>1&ndash;3 years of experience in medical insurance verification, preferably in workers&rsquo; compensation or a healthcare setting.</li><li>Familiarity with Texas workers&rsquo; compensation processes and billing practices.</li><li>Experience with EHR systems and medical billing software.</li><li>Strong attention to detail and ability to manage multiple cases simultaneously.</li><li>Excellent communication and customer service skills.</li></ul>KNOWLEDGE SKILLS &amp; ABILITIES<ul><li>Knowledge of workers&rsquo; compensation claim workflows in a clinical environment.</li><li>Experience verifying benefits for occupational health or injury-related visits.</li><li>Ability to interpret insurance information and explain coverage to patients and staff.</li><li>Strong organizational and problem-solving skills.</li></ul>Benefits:<ul><li>401(k)</li><li>Dental insurance</li><li>Disability insurance</li><li>Flexible spending account</li><li>Health insurance</li><li>Health savings account</li><li>Life insurance</li><li>Paid time off</li><li>Retirement plan</li><li>Vision insurance</li></ul>Work Location: In person

Workers’ Compensation Insurance Verification Specialist

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