Insurance Eligibility Verification Specialist

Pinnacle Treatment Centers, Inc.

Insurance Verification Specialist working remotely for Pinnacle Treatment Centers. Responsible for verifying patient insurances and confirming pre-authorizations for services.

Posted 6/9/2026full-timeRemote • 🇺🇸 United StatesJuniorWebsite

About the role

Key responsibilities & impact

Responsible for verifying patients’ insurances, as well as their covered benefits and for confirming pre-authorizations for services.
Works well as part of a team and effectively communicates.
Assists practice staff with eligibility, as necessary.
Serves as a liaison between the RCM department and the various PTC facilities.
Handle high volume of inbound/outbound calls for patients that need to be screened financially and medically for financial assistance.
Complete verification of benefits for multiple clients within the appropriate timelines.
Maintains high quality customer service standards in compliance with federal and state regulations and guidelines.
Provide periodic processing status updates.
Assist in researching reimbursement issues relevant to benefits/eligibility issues.
Assist in training of new team members.
Enter and update patient demographics into the billing system as needed.
Complete KPI reports as requested by management and the clients.
Update and manage the VOB tracker for multiple clients.
Understand federal and state requirements regarding client confidentiality and the principles of maintaining protected health information (PHI).
Work effectively and maintain expected productivity.
Other tasks or duties as assigned.

Requirements

What you’ll need

Associate’s degree preferred or experience in lieu of degree.
1-2 years'+ experience in front-end medical office operations.
Prior experience working in a role with a high volume of either inbound or outbound calls.
Experience and knowledge of federal or state government agencies including Social Security, Medicaid and/or Commercial coverages, familiar with the healthcare revenue cycle touching patient accounts.
Experience working in a role that requires prioritization of multiple critical priorities while ensuring quality and achievements of performance metrics.
Experience with customer interactions which requires live, accurate documentation of the encounter.
Previous experience collecting patient payments or copays.

Benefits

Comp & perks

18 days PTO (Paid Time Off) + 8 paid holidays
401k with company match
Company sponsored ongoing training and certification opportunities.
Full comprehensive benefits package including medical, dental, vision, short term disability, long term disability and accident insurance.
Substance Use Disorder Treatment and Recovery Loan Repayment Program (STAR LRP)
Discounted tuition and scholarships through Capella University

ATS Keywords

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Applicant Tracking System Keywords

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Hard Skills & Tools

verification of benefitspre-authorizationseligibility verificationKPI reportingpatient demographics entryfinancial assistance screeningreimbursement issue researchcustomer payment collectionmedical office operationshealthcare revenue cycle

Soft Skills

teamworkeffective communicationcustomer serviceprioritizationproductivitytrainingproblem-solvingattention to detailadaptabilityinterpersonal skills

Certifications

Associate’s degreecertification in medical billing and coding