Insurance Verification Specialist II

61st Street Service Corp

Insurance Verification Specialist responsible for verifying health insurance benefits for ColumbiaDoctors patients. Involves contacting insurance companies and updating patient benefit information.

Posted 7/15/2026full-timeNew York City • New York • 🇺🇸 United StatesJunior💰 $25 - $33 per hourWebsite

Core Competencies

Role fit

Core Competencies

Use this summary to align your resume positioning with the role.

Demonstrates expertise in verifying patient insurance coverage and navigating the payer adjudication process, with proficiency in electronic billing systems such as Epic. Strong understanding of medical terminology and compliance regulations in a healthcare setting is essential.

Highest-signal resume keywords

Insurance VerificationPayer Adjudication ProcessEpic Electronic Billing SystemMedical TerminologyPhysician Billing Experience

ATS Keywords

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Applicant Tracking System Keywords

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Hard Skills

Data EntryInsurance Coverage VerificationClaim Forms KnowledgeBilling Requirements UnderstandingPatient Payment Requesting

Soft Skills

Attention to DetailCommunication SkillsProblem-Solving

Tools & Technologies

EpicElectronic Billing Systems

Certifications & Qualifications

High School GraduateGED Certificate

Industry Keywords

HMOsPPOsMedicareMedicaidCompliance Program Regulations

About the role

Key responsibilities & impact

Responsible for verifying patient insurance coverage, to ensure necessary procedures are covered by an individuals provider.
Notify patient and help arrange alternative payment methods when insurance coverage does not cover services.
Responsible for entering data in an accurate manner in order to update patient benefit information correctly in EMR and verify that existing information is accurate.
Perform routine administrative and clerical tasks.
Verify insurance coverage in a timely matter.
Request payments from patients and guarantors where appropriate.
Perform related duties as assigned.
Complete insurance verification for more complex visit types (e.g. major surgery).
Act as a point of escalation and monitor supervisory or secondary work queues.
Work with complex insurance companies for verifications.

Requirements

What you’ll need

High school graduate or GED certificate is required.
A minimum of 1-year experience in a physician billing or third party payer environment.
Candidate must demonstrate working knowledge of contracts, insurance benefits, exclusions and other billing requirements as well as claim forms, HMOs, PPOs, Medicare, Medicaid and compliance program regulations.
Candidate must demonstrate the ability to understand and navigate the payer adjudication process.
Patient financial and practice management system experience in Epic and or other of electronic billing systems is preferred.
Knowledge of medical terminology is preferred.
Previous experience in an academic healthcare setting is preferred.

Benefits

Comp & perks

Healthcare
Paid Time off