Insurance Verification Representative

Job not on LinkedIn

🔥 9 minutes ago

🌵 Arizona, Colorado, +21 more states – Remote

🌵 Arizona – Remote ⛰️ Colorado – Remote 🦌 Connecticut – Remote 🐊 Florida – Remote 🥔 Idaho – Remote 🌽 Illinois – Remote 🌪️ Kansas – Remote 🏖️ New Jersey – Remote 🌲 North Carolina – Remote 🏈 Ohio – Remote 🌲 Oregon – Remote 🦀 Maryland – Remote 🍂 Massachusetts – Remote 🚗 Michigan – Remote ❄️ Minnesota – Remote 🔔 Pennsylvania – Remote 🌴 South Carolina – Remote 🎸 Tennessee – Remote 🤠 Texas – Remote ⛷️ Utah – Remote ⚔️ Virginia – Remote ☕ Washington – Remote 🧀 Wisconsin – Remote

💵 $20 - $24 / hour

⏰ Full Time

🟡 Mid-level

🟠 Senior

🔒 Insurance

👻 Ghost score 1%

What it means: how likely this posting is sitting open without active hiring.How to read it: 60% or higher means we think this is a ghost. Lower scores are less of a worry.How we score it: age, reposts, open roles vs team size, how fast jobs close, and whether pay is listed.Fine print: an estimate from public data, not a judgment of the company. Real jobs can score high, so treat it as a hint, not a fact.

Apply Now

Find Similar Remote Jobs

Set Up Email Alert For New Jobs

📊 Check your resume score for this job

Improve your chances of getting an interview by checking your resume score before you apply.

Upload Resume

Vail Health

WebsiteLinkedInAll Job Openings

1001 - 5000 employees

Founded 1965

🏥 Healthcare

⚕️ Healthcare Insurance

🤝 Non-profit

Healthcare • Healthcare Insurance • Non-profit

Vail Health is a nonprofit, community health care system located in Eagle and Summit counties. It offers a comprehensive range of medical services including a 56-bed hospital, 24/7 emergency care, urgent care clinics, cancer care, breast centers, cardiovascular services, surgery, childbirth, and more. Vail Health is committed to improving health care access and quality for the communities it serves, and offers additional services such as physical therapy, internal medicine, endocrinology, and behavioral health. The organization is also involved in community engagement and health education initiatives.

📋 Description

• Verify patient insurance eligibility and benefits before scheduled appointments • Use online systems, phone communication, and other resources in accordance with Vail Health timelines • Assign payer plan codes in the electronic health record system • Verify medical necessity according to CMS standards • Communicate coverage and eligibility details to patients • Gather additional information from patients, physicians, clinicians, front-end staff, and translators • Obtain missing demographic, insurance, and pre-authorization information • Coordinate primary and secondary payer liability • Obtain payer pre-certifications and pre-authorizations • Escalate complex cases and notify patients or physician offices of verification or eligibility issues • Communicate patient financial responsibility and coordinate payment or financial assistance discussions • Uphold Just Culture principles and maintain HIPAA compliance • Perform other duties as assigned

🎯 Requirements

• One year of customer service experience preferred • Insurance verification or healthcare experience preferred • At least one year of professional experience using Epic, specifically working with and verifying Physical Therapy and/or Occupational Therapy workflows, strongly preferred • Degree in healthcare administration or a related field preferred • Must be able to live and work primarily in one of the listed states: Arizona, Colorado, Connecticut, Florida, Georgia, Idaho, Illinois, Kansas, Massachusetts, Maryland, Michigan, Minnesota, North Carolina, New Jersey, Ohio, Oregon, Pennsylvania, South Carolina, Tennessee, Texas, Utah, Virginia, Washington, or Wisconsin • Must adhere to the 8:00 AM–4:30 PM MST schedule regardless of location • Must remain HIPAA compliant

🏖️ Benefits

• Competitive wages • Parental leave (4 weeks paid) • Housing programs • Childcare reimbursement • Medical insurance • Dental insurance • Vision insurance • Tuition assistance • Existing student loan repayment • Specialty certification reimbursement • Annual supplemental educational funds • Up to five weeks paid time off in the first year, increasing each year • 403(b) retirement plan with immediate matching • Life insurance • Short- and long-term disability insurance • Up to $1,000 annual wellbeing reimbursement • Recreation discounts • Pet insurance