🔒 Requirement: HIPAA Certified
🏡 Work Setup: Permanent Work From Home
⏲️ Schedule: Full-Time | 40 hours/week
🕑 Hours: U.S. Business Hours
About the Role
We’re looking for an experienced Insurance Verification Specialist to join a growing U.S.-based healthcare practice.
If you have hands-on experience verifying commercial insurance, completing detailed benefit breakdowns, and navigating payer portals, we’d love to hear from you.
You will handle approximately 20 insurance verifications per day, ensuring accuracy, completeness, and HIPAA compliance.
What You’ll Do
Verify commercial insurance eligibility and benefits
Contact U.S. insurance carriers via phone
Navigate insurance payer portals
Complete detailed benefit breakdowns (deductibles, copays, coinsurance, etc.)
Confirm in-network and out-of-network coverage
Identify prior authorization requirements
Document verification notes accurately in EMR systems
Prioritize verifications based on upcoming appointments
Communicate coverage concerns with the healthcare team
Maintain strict HIPAA & PHI compliance
What we're looking for:
2+ years of U.S. healthcare or dental insurance verification experience
Active HIPAA Certification (or completed HIPAA training)
Strong knowledge of insurance benefits and terminology
Experience with commercial insurance plans
Comfortable making outbound calls to U.S. insurance carriers
Experience using EMR/EHR and payer portals
Excellent English communication skills
Detail-oriented and able to manage high-volume worklo
Must Haves
Dental, oral surgery, or specialty healthcare experience
WinOMS & Weave experience
Insurance claims and follow-up experience
Treatment plan or patient account support experience
Nice to Have
Please note: This job post does not guarantee immediate client onboarding. Once you successfully complete the full recruitment process, your profile will be added to our talent pool for client placements that match your qualifications and experience.
