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Remote

Benefits Verification Specialist

Equiliem
United States, North Carolina
May 29, 2025

Job Title: Benefits Verification Specialist (Remote, Contract Role)

Position Overview:

We are seeking a detail-oriented and reliable Benefits Verification Specialist for a fully remote, contract opportunity. In this role, you'll be responsible for verifying patient-specific insurance coverage and documenting benefit details to support patient access to healthcare services. This is an excellent role for someone with strong communication skills and a background in healthcare, customer service, or administrative support.

Key Responsibilities:




  • Verify patient insurance coverage by contacting payers and documenting benefit details



  • Determine coverage levels, cost-sharing, and provider access options



  • Identify restrictions or additional steps required to expedite patient access



  • Enter and maintain accurate records of benefit information



  • Assist with prior authorizations or claims appeals, as needed



  • Triage cases missing information to appropriate team members



  • Perform quality checks on completed work to ensure accuracy



  • Communicate trends or delays in reimbursement processes to management




Qualifications:




  • High school diploma or GED required; associate's degree or relevant certification a plus



  • 2+ years of experience in benefits verification, healthcare, insurance, administrative support, or customer service (education may substitute for experience)



  • Strong verbal and written communication skills



  • Proficiency in Microsoft Office (Outlook, Word, Excel)



  • Excellent attention to detail, critical thinking, and problem-solving abilities



  • Ability to work independently in a fast-paced, remote environment



  • Experience with healthcare payers or insurance systems is preferred

    #ZR



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