Insurance Verification Specialist (Healthcare)

Department: Revenue Cycle

Reports To: VOB Team Lead

Location: Maryland

Employment Type: Full-Time

Job Summary

The Insurance Verification Specialist is responsible for verifying patient insurance eligibility, benefits, authorizations, and referrals prior to services. This role ensures patients understand their coverage and supports a seamless patient experience through accurate and timely insurance verification.

Why Join CoreLife

• Mission-driven healthcare organization transforming patient outcomes
• Collaborative, team-based environment
• Growth opportunities within Revenue Cycle operations
• Direct impact on patient financial transparency and care access
  
  

Key Responsibilities

• Verify insurance eligibility, benefits, authorizations, and referrals for all new patients
• Educate patients and internal staff on coverage and eligibility details
• Conduct high-volume outbound calls to insurance companies
• Ensure accuracy of patient demographics and insurance information
• Document verification details accurately in the system
• Meet productivity and turnaround time expectations in a fast-paced environment
• Collaborate with clinical and administrative teams to resolve insurance issues
• Perform additional duties as assigned
  
  

Required Qualifications

• High School Diploma or GED
• Minimum 2 years of experience with insurance verification, benefits, or eligibility
• Minimum 2 years of customer service experience
• Strong communication skills (phone and written)
• High attention to detail and accuracy
• Ability to multitask and meet deadlines
  
  

Preferred Qualifications

• Associate’s degree
• Experience with medical billing or accounts receivable (AR)
• Experience with EPIC and/or NextGen (Professional Billing Module)
• Healthcare or revenue cycle experience
  
  

Technical Skills

• Microsoft Excel proficiency
• Experience with insurance portals and eligibility tools
• Data entry accuracy and system navigation
  
  

Core Competencies

• Customer Focus
• Attention to Detail
• Communication
• Problem Solving
• Time Management
• Team Collaboration
  
  

Work Environment

• Fast-paced, high-volume healthcare setting
• Frequent phone communication with insurance providers
• Requires ability to manage multiple priorities simultaneously