Verify insurance eligibility and benefits using payer portals, phone calls, and verification tools
Update and maintain patient demographic and insurance data in the Electronic Health Record (EHR) and internal systems
Document key benefit details including copayments, deductibles, coinsurance, and out-of-pocket maximums
Communicate with patients to clarify insurance coverage and respond to basic inquiries via phone
Collaborate with clinical and billing teams regarding eligibility and authorization status
Identify and resolve discrepancies in insurance information; escalate complex cases as needed
Maintain compliance with HIPAA and patient privacy regulations
Deliver excellent customer service in a high-volume, fast-paced call center environment
Requirements
1–2 years of experience in a healthcare call center or healthcare administration (insurance verification, patient registration, or medical billing)
Familiarity with health insurance terminology: copay, deductible, coinsurance, HMO, PPO, subscriber
Basic understanding of government-sponsored plans (Medicaid and Medicare) and their differences
Proficient in navigating healthcare systems; experience with EHRs preferred
Demonstrated excellence in customer service and client interaction
Clear and professional communication skills
Must successfully pass a criminal background check
Availability to work Monday - Friday 11:00am to 8:00pm EST / 10:00am to 7:00pm CT / 9:00am to 6:00pm MT (must be willing to work until 8pm EST/7pm CT)
High Speed Internet of 25MBPS download and 5MBPS upload; required to provide a speed test
Ability to directly hardwire to your modem
Required to have a quiet dedicated work area
Preferred: experience in high-volume healthcare settings; familiarity with major insurance payers; strong adherence to daily schedules, tasks, and performance metrics; ability to multitask; self-motivated and well-organized