Healthcare Insurance Verification Specialist
Gainwell Technologies
full-time
Posted on:
Location Type: Remote
Location: Texas • United States
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Salary
💰 $26,500 - $37,800 per year
Job Level
About the role
- Handle inbound calls from Medicaid providers and members regarding insurance coverage and COB-related inquiries
- Verify and validate third-party insurance coverage using MMIS systems, carrier portals, and internal tools
- Accurately document and update case information across systems such as Perceptive Content and Excel
- Process back-office tasks including emails, faxes, and SharePoint requests tied to TPR contracts
- Interpret insurance coverage details and apply policy guidelines to ensure accurate information is communicated
- Support assigned contract operations (e.g., Idaho client) through dedicated back-office workflows
- Maintain compliance with HIPAA and data privacy standards while handling sensitive information
Requirements
- High school Diploma/GED required.
- 1+ year of experience in medical insurance verification, healthcare operations, or related field
- 1+ year of call center or phone-based customer service experience
- Strong attention to detail and analytical skills for interpreting insurance coverage and data
- Proficiency in Microsoft Excel and ability to navigate multiple systems simultaneously
- Working knowledge of HIPAA privacy and security guidelines
Benefits
- generous, flexible vacation policy
- 401(k) employer match
- comprehensive health benefits
- educational assistance
- variety of leadership and technical development academies
Applicant Tracking System Keywords
Tip: use these terms in your resume and cover letter to boost ATS matches.
Hard Skills & Tools
medical insurance verificationdata analysiscase documentationinsurance coverage interpretationback-office processingpolicy guideline applicationcompliance maintenance
Soft Skills
attention to detailanalytical skillscustomer service
Certifications
High school DiplomaGED