Insurance Verification Specialist

YOU MUST LIVE IN PA, NJ OR FL -- APPLICANTS FROM OTHER STATES CAN NOT BE CONSIDERED Location: Newtown, PA Status: Full-Time Department: Billing / Revenue Cycle Management Position Summary The Insurance Verification Specialist is responsible for accurately verifying patient insurance coverage and benefits for services across multiple specialties. This role ensures that all required information is obtained and documented prior to appointments and procedures, supporting smooth clinical operations and timely reimbursement. A high level of attention to detail and strong organizational skills are essential. Key Responsibilities Verify insurance eligibility and benefits for office visits and in office procedures Confirm coverage details including deductibles, co-insurance, co-pays, and plan limitations Identify prior authorization requirements and communicate them to the appropriate team members Collaborate with scheduling, precertification, and billing teams to address coverage concerns Obtain referrals based on plan coverage Document all benefit information clearly and accurately in the electronic medical record Communicate with insurance carriers through phone, web portals, and written correspondence Escalate potential coverage issues or concerns as needed Provide patients with clear, accurate explanations of benefits when appropriate Maintain compliance with HIPAA and all internal policies and procedures Qualifications Previous experience in insurance verification, authorizations, or medical billing (multi-specialty experience preferred) YOU MUST LIVE IN PA, NJ OR FL -- APPLICANTS FROM OTHER STATES CAN NOT BE CONSIDERED Strong understanding of commercial and government insurance plans Exceptional attention to detail and accuracy Excellent communication and customer service skills Ability to manage multiple tasks and work in a fast-paced environment Proficiency with insurance portals and electronic medical records Why This Role Is Important The accuracy and thoroughness of insurance verification directly support both patient experience and the financial health of the practice. This role ensures that services are covered, benefits are understood, and potential issues are addressed proactively.

Created: 2026-03-04