The Insurance Verification Specialist ensures patient readiness through eligibility verification, authorizations, and financial responsibility assessment, while collaborating with internal teams.
This is a remote position.
Only LATAM-based candidates (bilingual in Spanish and English)
We are seeking an experienced Insurance Verification & Authorization Specialist to support a busy U.S.-based medical practice. This role plays a critical part in daily operations by ensuring next-day patient readiness, accurate insurance verification, timely authorizations, and a smooth patient financial experience.
The ideal candidate is detail-oriented, proactive, and comfortable working in a fast-paced medical environment while collaborating closely with on-site teams.
Contract: Service Provision- Independant Contractor
Key Responsibilities
- Perform insurance eligibility and benefits verification for next-day patients across multiple carriers
- Confirm active coverage and accurately determine patient financial responsibility (copays, deductibles, coinsurance) for visits, procedures, and treatments
- Obtain referrals and prior authorizations from primary care physicians and insurance companies
- Navigate and utilize health plan portals and insurance platforms efficiently
- Collect payments for telehealth visits when applicable
- Communicate effectively with internal teams to ensure patient readiness and prevent delays, denials, or cancellations
- Support general administrative and office-related duties as needed
- Work collaboratively with other insurance verification specialists and on-site staff
Requirements
- Minimum 1 year of experience in insurance verification within a medical office
- Proven experience with referrals and prior authorization processes
- Strong understanding of medical terminology, including CPT codes
- Hands-on experience with insurance portals and verification platforms
- Excellent attention to detail and ability to meet daily deadlines
- Ability to learn quickly and adapt in a fast-paced environment
- Strong teamwork skills and professional communication style
- Customer service–oriented mindset
Preferred Qualifications:
- Experience working with Rheumatology practices
- Familiarity with Medicare, Medicare Advantage, and commercial plans
- Bilingual proficiency in English and Spanish
- Previous experience working remotely with U.S.-based medical offices
Benefits
- 100% Remote
- Weekends OFF
- Stable, long-term opportunity with a growing healthcare support company
- Competitive compensation based on experience
- Structured onboarding and ongoing support
- Opportunity for professional growth and increased responsibilities based on performance
- Collaborative and respectful remote work environment
Similar Jobs
Healthtech • Software
The Insurance Verification Specialist registers patients, verifies insurance eligibility, communicates financial responsibilities, and collaborates with surgical centers for patient care support.
Top Skills:
Windows-Driven Software
Insurance • Financial Services
The Bilingual Insurance Verification Specialist will verify life and health insurance applications by making outbound calls to customers, document required information, and support underwriting processes while maintaining communication with management and meeting performance metrics.
Top Skills:
MS Office
Healthtech • Insurance • Financial Services
The Insurance Verification Specialist ensures accurate dental insurance verifications, manages client systems, and supports customer communication regarding verifications.
Top Skills:
Google SuiteMS OfficePractice Management Solutions
What you need to know about the Boston Tech Scene
Boston is a powerhouse for technology innovation thanks to world-class research universities like MIT and Harvard and a robust pipeline of venture capital investment. Host to the first telephone call and one of the first general-purpose computers ever put into use, Boston is now a hub for biotechnology, robotics and artificial intelligence — though it’s also home to several B2B software giants. So it’s no surprise that the city consistently ranks among the greatest startup ecosystems in the world.
Key Facts About Boston Tech
- Number of Tech Workers: 269,000; 9.4% of overall workforce (2024 CompTIA survey)
- Major Tech Employers: Thermo Fisher Scientific, Toast, Klaviyo, HubSpot, DraftKings
- Key Industries: Artificial intelligence, biotechnology, robotics, software, aerospace
- Funding Landscape: $15.7 billion in venture capital funding in 2024 (Pitchbook)
- Notable Investors: Summit Partners, Volition Capital, Bain Capital Ventures, MassVentures, Highland Capital Partners
- Research Centers and Universities: MIT, Harvard University, Boston College, Tufts University, Boston University, Northeastern University, Smithsonian Astrophysical Observatory, National Bureau of Economic Research, Broad Institute, Lowell Center for Space Science & Technology, National Emerging Infectious Diseases Laboratories
