Insurance Verification Specialist - Full-Time
Premier Hematology is seeking a detail-oriented Insurance Verification Specialist to join our team full-time. In this role, you'll be the first line of defense in making sure our patients' insurance coverage is confirmed and authorized before treatment, so our clinical team can focus on care.
Responsibilities:
Verify patient insurance coverage, eligibility, and benefits prior to appointments and treatment
Obtain prior authorizations and referrals required by insurance payers
Contact insurance companies to confirm coverage limits, co-pays, deductibles, and out-of-pocket costs
Accurately document and update insurance information in the patient record/EHR
Coordinate with billing, front desk, and clinical staff to resolve coverage discrepancies
Track and follow up on pending authorizations, denials, and appeals
Explain insurance benefits and financial responsibilities to patients as needed
Qualifications:
Prior experience in insurance verification, medical billing, or healthcare administration (specialty/oncology practice experience a plus)
Working knowledge of major insurance payers, prior authorization, and referral processes
Strong attention to detail and organizational skills
Excellent phone and written communication skills
Experience with EHR/practice management software preferred
Schedule: Full-time, Monday-Friday
Pay: $20-$23 per hour, based on experience
Location: Queens, NY (on-site/hybrid/remote)
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