Healthcare Verification Specialist

This is a fully remote position, open to applicants in New York.

📋 Description

• Address customer inquiries and deliver accurate information through inbound and outbound phone calls as well as email communications.

• Make outbound calls to patients and caregivers to arrange, confirm, and follow up on medical appointments.

• Handle incoming calls related to appointment scheduling and patient assistance.

• Organize, reschedule, and coordinate medical appointments according to the needs of patients and caregivers.

• Respond to questions regarding appointment specifics, availability, timing, and related details.

• Provide updates on the availability of test results and expected turnaround times, when applicable.

• Keep precise and detailed records of customer interactions, appointments, and communications.

• Execute administrative and customer service support tasks as necessary.

• Offer professional and high-quality customer service to ensure satisfaction for both patients and caregivers.

• Verify insurance eligibility, billing, and prior authorizations.

• Manage DME and DME insurance processes.

• Assist operations in Urgent Care, medical offices, DME, or similar healthcare environments.

• Review insurance benefits, coverage, deductibles, copays, and coinsurance.

• Perform additional duties related to the role as assigned.

⛳️ Requirements

• Proficient in English, both written and spoken.

• Strong interpersonal and communication abilities with clients, vendors, and colleagues.

• Previous experience in insurance eligibility verification, insurance billing, and prior authorizations is highly desirable.

• Familiarity with Durable Medical Equipment (DME) and DME insurance processes.

• Experience in Urgent Care, a medical office, DME, or a similar healthcare setting is preferred.

• Strong knowledge of insurance benefits, coverage, deductibles, copays, and coinsurance is preferred.

• Familiar with insurance portals, EMR/EHR systems, and billing or authorization platforms.

• Excellent attention to detail and capability to maintain accurate records.

• Superior organizational and problem-solving skills.

• Ability to juggle multiple tasks and meet deadlines in a fast-paced environment.

• Resourceful, accountable, with a strong sense of ownership.

• Creative thinker, highly adaptable, reliable, self-motivated, and confident.

• Strong problem-solving abilities with the capacity to work independently.

• Exceptional organizational skills with the ability to manage daily operations.

• Proficient in Microsoft Office (Word, Excel, Outlook).

• Familiar with standard business tools (email, spreadsheets, document management).

• Ability to quickly learn new systems, software, and workflows.

• Capability to follow established processes accurately with minimal supervision.

• Willingness to work U.S. EST (New York) business hours and adapt to business requirements.

• Interest in long-term career opportunities.

• Must be able to undergo a background check.

• Reliable Windows 10+ computer, dual monitors, and high-speed internet connection.

• Reliable backup power source (e.g., power bank, UPS, inverter, or generator) for uninterrupted work during outages.

• Professional home workstation capable of supporting seamless remote work.

🏝️ Benefits

• 100% remote work opportunity.

• Supportive work environment with potential for career growth.

• Full-time position requiring 40 hours per week.

• Long-term career opportunity available.