Benefits Support Specialist

Phil, Inc.

Benefits Verification Specialist conducting outbound calls to insurance carriers for insurance benefit verifications. Responsible for verifying active coverage and accurately documenting information.

Posted 5/22/2026full-timeRemote • Arizona, California, Colorado, Florida, Idaho, Illinois, Iowa, Massachusetts, Missouri, Montana, New Hampshire, New Jersey, New York, North Carolina, Ohio, Oklahoma, Oregon, Pennsylvania, South Carolina, Tennessee, Texas, Utah, Virginia, Washington, West Virginia, Wisconsin • 🇺🇸 United StatesJunior💰 $17 - $19 per hourWebsite

Tech Stack

Tools & technologies

Swift

About the role

Key responsibilities & impact

Place outbound calls to insurance carriers and navigate payer phone systems to reach eligibility and benefits representatives
Verify active coverage and obtain detailed benefits information including deductibles, copays, coinsurance, out-of-pocket maximums, prior authorization requirements, and in/out-of-network benefit levels
Accurately document all information obtained during each call, including reference numbers, representative names, and call timestamps
Interpret call outcomes and apply decision criteria to move each case to the correct next step in the workflow (e.g., eligible for services, requires prior auth, inactive/terminated coverage, patient financial responsibility assessment, denial routing)
Identify discrepancies between payer-reported benefits and information on file and escalate appropriately
Meet daily productivity and quality standards for call volume and documentation accuracy
Maintain working knowledge of common insurance terminology, plan types (HMO, PPO, EPO, HDHP), and payer-specific requirements

Requirements

What you’ll need

1+ years of experience in medical billing, insurance verification, or a related healthcare administrative role
Minimum 1 year of customer support experience (call center experience is preferred).
Familiarity with insurance benefits terminology and payer communication processes,
Strong attention to detail and ability to accurately transcribe information in real time with low/no errors
Ability to independently assess call outcomes and apply routing logic without constant supervision
Comfortable with high call volumes and navigating automated payer phone systems
Proficiency with EHR/practice management software or equivalent case management systems
Must have a good understanding of computers, hardware, networks, etc.
Adaptable to swift changes
Open to giving and receiving feedback graciously and professionally

ATS Keywords

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Applicant Tracking System Keywords

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Hard Skills & Tools

medical billinginsurance verificationcustomer supportcall center experienceinsurance benefits terminologytranscriptionrouting logicEHR softwarecase management systemscomputer proficiency

Soft Skills

attention to detailindependent assessmentadaptabilityfeedback receptivenessprofessionalism