Insurance Verification Specialist

### This is a remote position. **Only LATAM-based candidates (bilingual in Spanish and English)** We are seeking an experienced**Insurance Verification & Authorization Specialist**to support a busy U.S.-based medical practice. This role plays a critical part in daily operations by ensuring next-day patient readiness, accurate insurance verification, timely authorizations, and a smooth patient financial experience. The ideal candidate is detail-oriented, proactive, and comfortable working in a fast-paced medical environment while collaborating closely with on-site teams. **Contract: Service Provision- Independant Contractor** **Key Responsibilities** * **Perform**insurance eligibility and benefits verification**for next-day patients across multiple carriers** * **Confirm active coverage and accurately determine**patient financial responsibility**(copays, deductibles, coinsurance) for visits, procedures, and treatments** * **Obtain**referrals and prior authorizations**from primary care physicians and insurance companies** * **Navigate and utilize**health plan portals and insurance platforms**efficiently** * **Collect payments for**telehealth visits**when applicable** * **Communicate effectively with internal teams to ensure patient readiness and prevent delays, denials, or cancellations** * **Support general administrative and office-related duties as needed** * **Work collaboratively with other insurance verification specialists and on-site staff** ** ### Requirements * Minimum**1 year of experience**in insurance verification within a medical office * Proven experience with**referrals and prior authorization processes** * Strong understanding of**medical terminology**, including**CPT codes** * Hands-on experience with**insurance portals and verification platforms** * Excellent attention to detail and ability to meet daily deadlines * Ability to learn quickly and adapt in a**fast-paced environment** * Strong teamwork skills and professional communication style * **Customer service–oriented mindset** **Preferred Qualifications:** * Experience working with**Rheumatology practices** * Familiarity with Medicare, Medicare Advantage, and commercial plans * Bilingual proficiency in**English and Spanish** * Previous experience working remotely with U.S.-based medical offices ### Benefits * 100% Remote * Weekends OFF * Stable, long-term opportunity with a growing healthcare support company * Competitive compensation based on experience * Structured onboarding and ongoing support * Opportunity for professional growth and increased responsibilities based on performance * Collaborative and respectful remote work environment ** Originally posted on [Himalayas](https://himalayas.app)