Senior Insurance Specialist – Clinical Trials

City of Hope

Senior Insurance Specialist coordinating clinical-trial insurance coverage for City of Hope, a cancer and life-threatening illness care system. Leading benefit verification, authorizations, and team operations for research patients nationwide.

Posted 8/6/2026full-timeRemote • 🇺🇸 United StatesSenior💰 $31 - $48 per hourWebsite

Core Competencies

Role fit

Core Competencies

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

Demonstrates expertise in healthcare insurance authorization, clinical trial billing, and patient access management while ensuring compliance with policies and delivering exceptional customer service. Proven ability to manage competing priorities and collaborate effectively within a team environment.

Highest-signal resume keywords

Healthcare Insurance Authorization ExperienceClinical Trial BillingCustomer Service SkillsMicrosoft Software ProficiencyProblem-Solving Skills

ATS Keywords

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Applicant Tracking System Keywords

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Hard Skills

Clinical Trial BillingInsurance AuthorizationPolicy Benefit ManagementQuality MonitoringData EntryBudget ReviewManaged Care Contract InterpretationAuthorization Request ManagementCompliance AdherenceProductivity Tracking

Soft Skills

Communication SkillsOrganization SkillsWorkload ManagementDetail-OrientedFlexibility

Tools & Technologies

Microsoft SoftwarePC Applications

Industry Keywords

HealthcarePatient AccessClinical TrialsInsurance BenefitsConfidentiality

About the role

Key responsibilities & impact

Help oversee daily activities of the Research Insurance Specialist team, including assignments, scheduling coverage, onboarding, training, quality monitoring, coaching, and productivity tracking.
Serve as a team resource and liaison when Research Patient Access leadership is unavailable, and participate in workgroups, committees, special projects, and team meetings.
Review clinical trial billing grids and budgets to identify standard-of-care procedures and determine whether upcoming services require insurance authorization.
Verify hospital and professional insurance benefits for clinical trial patients through telephone, mail, fax, and online inquiries.
Enter and maintain accurate policy benefit, coverage, and authorization information in applicable systems and the medical record.
Coordinate with research nurses, case managers, financial counselors, referral teams, registration, clinics, providers, and insurance carriers to obtain timely authorizations and pre-certifications.
Request authorization extensions or new authorizations to support continuity of care when services or coverage change.
Interpret managed care contract summaries, respond to coverage questions, support denial reviews and appeals, and help resolve outstanding account issues.
Deliver exceptional service to patients, providers, colleagues, and leaders while managing multiple priorities and taking prompt action on high-priority situations.
Maintain productivity, accuracy, confidentiality, and compliance with departmental and City of Hope policies, procedures, and standards.

Requirements

What you’ll need

Associate degree, or equivalent experience in place of the minimum education requirement.
Five years of related experience, including at least three years of healthcare experience.
Strong customer service, communication, organization, problem-solving, and workload-management skills.
Ability to work independently with limited supervision and collaboratively within a team environment.
Proven ability to manage competing priorities, work toward measured goals, delegate workload, and remain professional under pressure.
Detail-oriented, flexible, persuasive, accountable, and committed to integrity.
Proficiency in Microsoft software and a range of PC applications.
Bachelor’s degree preferred.
Healthcare insurance authorization experience preferred.
Maintain confidentiality and comply with departmental and City of Hope policies, procedures, and standards.

Benefits

Comp & perks

Comprehensive Benefits
Remote work arrangement