Medical Insurance Verification Specialist

MEDICAL INSURANCE VERIFICATION SPECIALIST Join our team as a Medical Insurance Verification Specialist"”making a difference from home. Help patients access vital treatments by managing insurance benefits, prior authorizations , and support services in a fast-paced healthcare environment. LOCATION & BENEFIT: Remote - Must live in the Dallas-Fort Worth area COMPENSATION & SCHEDULE: • $18-20/hr. • Monday - Friday | availability for an 8-hour shift between 8am - 8pm EST or 7am - 7pm CST ROLE IMPACT As a Medical Insurance Verification Specialist , you'll play a critical role in securing timely patient access to prescribed therapies by coordinating insurance verifications and prior authorizations . Your work directly impacts patient care, payer communication, and operational efficiency across the healthcare continuum. KEY RESPONSIBILITIES • Conduct insurance benefit investigations and document all activity in internal systems • Submit prior authorization requests and necessary documentation to insurance providers • Manage inbound calls and escalate complex inquiries appropriately • Liaise with insurance payors , provider offices, and pharmacies to expedite coverage decisions • Track and follow up on pending authorizations , flagging delays to leadership MINIMUM QUALIFICATIONS • High school diploma or GED • 1+ years' experience in pharmacy, medical insurance , or healthcare administration • Strong communication and customer service capabilities • Knowledge of medical and pharmacy benefits across major insurers CORE TOOLS & SYSTEMS • Microsoft Excel • Microsoft Outlook • Microsoft Word PREFERRED SKILLS • Experience in benefit verification or prior authorization support • Background in call center or high-volume reimbursement settings By applying for this job, you agree to receive calls, AI-generated calls, text messages, or emails from CornerStone and its affiliates, and contracted partners. Frequency varies for text messages. Message and data rates may apply. Carriers are not liable for delayed or undelivered messages. You can reply STOP to cancel and HELP for help. You can access our privacy policy at: #TEMPE123

Created: 2025-09-27