What are the responsibilities and job description for the Insurance Verification Coordinator position at Workforce Connections?
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)
High school diploma or equivalent
(Associate or Bachelor s degree in a related field may substitute for experience)
Certifications
None required
Key Responsibilities
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.
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
- 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
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
- Manage approximately 25 referrals per day
- Maintain 95% quality standards or higher
- Strong attendance and reliability are essential
- 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
- 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
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.
Salary : $18