Insurance Specialist (Healthcare Verification and Eligibility), Part-Time Contractor
Core
Verify patient insurance eligibility and resolve claims denials across payer portals to ensure accurate coverage information and claims processing.
Role type
Healthcare billing and eligibility verification specialist
Builds
Accurate eligibility records and resolved claims for healthcare providers
Domain
Healthcare administration and billing
Deliverable
client delivery
Required skills
Healthcare eligibility verification, claims denial resolution, payer portal navigation, regulatory compliance, record keeping, deadline management
Preferred skills
ICD-10 and CPT coding knowledge, multi-specialty experience, startup environment experience
Technologies
Availity, OneHealthport, Evernorth
Responsibilities
Verify patient insurance eligibility and benefits accurately across payer portals, Process and resolve claims denials by working directly with payers, Communicate with internal teams and payer representatives to resolve coverage issues, Maintain accurate records of eligibility and billing activity, Follow up on outstanding claims and denials within deadlines, Stay current on payer policies and billing regulations
Seniority
Mid-level, hands-on IC
