Insurance Verification Specialist

Centene Corporation

Insurance Verification Specialist responsible for obtaining and verifying insurance details. Collaborate with medical professionals to ensure proper documentation and authorization processes.

Posted 5/6/2026full-timeRemote • Illinois, New Jersey, Texas • 🇺🇸 United StatesJunior💰 $16 - $27 per hourWebsite

About the role

Key responsibilities & impact

Obtain and verify complete insurance information, including the prior authorization process
Obtain and verify insurance eligibility for services provided and document complete information in system
Perform prior authorizations as required by payor source, including procurement of needed documentation by collaborating with physician offices and insurance companies
Collect any clinical information such as lab values, diagnosis codes, etc.
Determine patient’s financial responsibilities as stated by insurance
Configure coordination of benefits information on every referral
Ensure assignment of benefits are obtained and on file for Medicare claims
Bill insurance companies for therapies provided
Document all pertinent communication with patient, physician, insurance company as it may relate to collection procedures
Identify and coordinate patient resources as it pertains to reimbursement, such as copay cards, third party assistance programs, and manufacturer assistance programs
Handle inbound calls from patients, physician offices, and/or insurance companies
Resolve claim rejections for eligibility, coverage, and other issues
Performs other duties as assigned

Requirements

What you’ll need

High school diploma
1+ years of medical billing or insurance verification experience
Bachelor’s degree in related field can substitute for experience
Experience with payors and prior authorization preferred

Benefits

Comp & perks

competitive pay
health insurance
401K and stock purchase plans
tuition reimbursement
paid time off plus holidays
flexible approach to work with remote, hybrid, field or office work schedules

ATS Keywords

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Applicant Tracking System Keywords

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Hard Skills & Tools

medical billinginsurance verificationprior authorizationdocumentationclaim resolutionfinancial responsibility determinationcoordination of benefitsbillingclinical information collectioncommunication documentation

Soft Skills

collaborationcommunicationproblem-solvingorganizational skillscustomer service

Certifications

high school diplomabachelor's degree