Remote Medical Insurance Verification Specialist

Passion Home Health Services is seeking a detail-oriented and knowledgeable Remote Medical Insurance Verification Specialist to verify patient insurance eligibility and benefits prior to services. This role plays a critical part in ensuring accurate billing, minimizing claim denials, and maintaining smooth administrative operations in a fully remote environment.

Key Responsibilities

  • Verify patient insurance eligibility, coverage, and benefits before services are rendered

  • Confirm deductibles, copayments, coinsurance, and authorization requirements

  • Obtain and document prior authorizations and referrals when required

  • Update insurance information accurately in internal systems

  • Communicate verification findings clearly to scheduling and billing teams

  • Identify potential coverage issues and escalate concerns appropriately

  • Maintain compliance with HIPAA and confidentiality standards

  • Meet productivity and accuracy performance expectations

Qualifications

  • High school diploma or equivalent required; Associate’s degree preferred

  • Previous experience in insurance verification, medical billing, or healthcare administration

  • Knowledge of Medicare, Medicaid, and commercial insurance plans

  • Familiarity with medical terminology and basic billing processes

  • Strong attention to detail and organizational skills

  • Proficiency in EMR/EHR systems and Microsoft Office or Google Workspace

  • Ability to work independently in a remote setting

  • Reliable internet connection and secure home workspace

Preferred Skills

  • Experience in home healthcare billing

  • Familiarity with CPT, ICD-10 codes, and revenue cycle workflows

  • Strong problem-solving and communication skills

  • Ability to manage multiple cases efficiently

What We Offer

  • Fully remote work opportunity

  • Flexible scheduling options

  • Competitive hourly compensation

  • Supportive and mission-driven team culture

  • Ongoing training and professional development opportunities

How to Apply

Interested candidates should submit a resume and brief cover letter outlining relevant experience. Qualified applicants will be contacted for a virtual interview.

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