Healthcare Insurance Eligibility and Benefits Specialist

Vee Technologies

Healthcare Insurance Eligibility Specialist verifying patient insurance coverage and benefits for Vee Healthtek. Liaising between patients, providers, and insurance carriers for accurate reimbursement.

Posted 7/15/2026full-timeRemote • 🇺🇸 United StatesJunior💰 $18 - $28 per hourWebsite

Core Competencies

Role fit

Core Competencies

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

Demonstrates expertise in verifying patient insurance coverage, eligibility, and benefits while ensuring compliance with HIPAA and payer guidelines. Proficient in utilizing EHR systems and payer portals to document findings and communicate effectively with patients and healthcare teams.

Highest-signal resume keywords

Healthcare Insurance VerificationEligibility and Benefits InvestigationEHR Systems ProficiencyCompliance with HIPAAKnowledge of Insurance Terminology

ATS Keywords

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Applicant Tracking System Keywords

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Hard Skills

Insurance Coverage VerificationBenefits ConfirmationMedical Necessity RequirementsReferral RequirementsDocumentation of Verification Findings

Soft Skills

Effective CommunicationCollaboration with Teams

Tools & Technologies

Payer PortalsClearinghouse ToolsMicrosoft Office Applications

Certifications & Qualifications

Healthcare Revenue Cycle CertificationPatient Access CertificationMedical Office Administration Certification

Industry Keywords

Commercial InsuranceMedicareMedicaidManaged CareGovernment Healthcare Programs

About the role

Key responsibilities & impact

Verify patient insurance coverage through payer websites, clearinghouses, and direct communication with insurance representatives
Confirm eligibility, benefits, coverage limitations, copayments, coinsurance, deductibles, and out-of-pocket responsibilities
Identify primary, secondary, and tertiary insurance coverage
Review policy effective dates and ensure insurance information is current and accurate
Determine coverage for scheduled procedures, treatments, diagnostic services, and specialty care
Verify benefit limitations, exclusions, medical necessity requirements, and referral requirements
Communicate benefit information to patients, providers, and internal teams
Accurately document eligibility and benefits verification findings within practice management or electronic health record (EHR) systems
Maintain detailed records of payer contacts, reference numbers, and verification outcomes
Ensure compliance with HIPAA, organizational policies, and payer guidelines
Collaborate with scheduling, registration, billing, and coding teams to prevent claim denials related to eligibility issues

Requirements

What you’ll need

High school diploma or equivalent
Minimum 1–3 years of healthcare insurance verification, eligibility, benefits investigation, patient access, or revenue cycle experience
Knowledge of commercial insurance, Medicare, Medicaid, Managed Care, and government healthcare programs
Understanding of insurance terminology, including deductibles, copayments, coinsurance, referrals, and prior authorizations
Proficiency with payer portals, clearinghouse tools, EHR systems, and Microsoft Office applications
Preferred Associate's or Bachelor's degree in Healthcare Administration, Business, or related field
Certification in healthcare revenue cycle, patient access, or medical office administration
Experience in specialty healthcare services, hospital, physician practice, or ambulatory care settings