Insurance Verification Coordinator

This is a fully remote position, open to applicants in United States.

📋 Description

• Verify the eligibility and benefits for both new and existing patients through payer portals and direct outreach to payers.

• Conduct ongoing re-verifications to ensure active coverage and maintain accurate benefit details.

• Assess coverage compatibility with LifeStance services, which include therapy, psychiatry, medication management, and telehealth.

• Confirm participation in provider networks and identify implications of out-of-network status.

• Identify, gather, document, and facilitate requirements for prior authorization, pre-certification, and referrals.

• Verify and manage benefits related to Employee Assistance Programs.

• Document approvals and verification activities in the billing system, electronic health record, and practice management systems.

• Review insurance and demographic information submitted by patients using Phreesia and related platforms.

• Validate and reconcile insurance data reported by patients against eligibility information verified by payers.

• Address discrepancies related to insurance, demographics, patient charts, and front-end revenue cycles.

• Investigate and assess claim rebilling when corrections to insurance information are made.

• Identify barriers to billing and facilitate accurate and timely reimbursement.

• Communicate insurance benefit information to internal teams and patients.

• Notify practice operations and leadership regarding uninsured, underinsured, or high-risk accounts.

• Achieve productivity, quality, and accuracy standards.

• Engage in special projects, workflow enhancements, process improvements, operational reporting, and data requests.

⛳️ Requirements

• A high school diploma or GED is required.

• At least 1 year of experience in medical insurance verification, medical billing, or healthcare revenue cycle operations.

• A working knowledge of commercial insurance, Medicare, Medicaid, and Employee Assistance Program (EAP) frameworks.

• Familiarity with prior authorization and referral processes.

• Experience utilizing electronic health records (EHR), automated billing systems, and patient intake platforms like Phreesia.

• Ability to interpret intake data and resolve discrepancies between patient-reported and payer-verified information.

• Strong analytical, problem-solving, and organizational abilities.

• Capacity to independently manage a high-volume workload in a remote setting.

• Excellent written and verbal communication skills, including those necessary for patient interactions.

• A demonstrated commitment to awareness, inclusivity, and sensitivity while working with individuals from diverse backgrounds.

🏝️ Benefits

• Medical insurance.

• Dental insurance.

• Vision insurance.

• Accidental Death & Dismemberment (AD&D) insurance.

• Short- and long-term disability insurance.

• Life insurance.

• 401k retirement savings plan with employer matching.

• Paid parental leave.

• Paid time off.

• Holiday pay.

• Employee Assistance Program.

• Potential for bonuses.

• Remote work opportunities.