13 results for Insurance Verification jobs

Insurance Verification Specialist

Baltimore, MD
onsite
Temporary
18 - 23 USD / Hourly
Our client in the local government and healthcare sector based in Baltimore, Maryland is seeking a detail-oriented Insurance Verification Specialist to join their team! Responsibilities:<ul><li>Conducting regular follow up and communicating with clinic patients over the phone in a detail-oriented manner.</li><li>Schedule patient visits, including new patient appointments, follow up visits, rescheduling of missed appointments, laboratory tests, and/or other medical appointments</li><li>Collecting and entering patient information such as insurance details, income, and family size into the electronic medical record.</li><li>Utilizing clinical electronic medical records for data entry and management.</li><li>Conducting patient registration, which includes obtaining demographic information.</li><li>Ensuring data accuracy while entering into a spreadsheet and the electronic medical record.</li><li>Making phone calls to patients to gather necessary details for calculating federal poverty limit.</li><li>Monitoring patient accounts and taking actions when necessary.</li></ul>
2026-04-10T00:00:00Z

Insurance Services Representative

Shrewsbury, MA
onsite
Permanent
40000 - 60000 USD / Yearly
A Banking client of ours who has an Insurance Agency in its portfolio is seeking an experienced Insurance Service Representative to support and grow our Property & Casualty insurance business. This role focuses on servicing existing clients, quoting new business, handling endorsements and renewals, and delivering exceptional member experiences. What You’ll Do<ul><li>Quote, bind, and service P&C insurance policies</li><li>Manage endorsements, renewals, billing, and registry transactions</li><li>Handle inbound calls, emails, and in-person member requests</li><li>Identify cross-sell and upsell opportunities</li><li>Partner with senior team members on remarkets and complex accounts</li><li>Meet service and turnaround standards (24–48 hours)</li></ul>
2026-03-18T00:00:00Z

Insurance Coverage Attorney

Seattle, WA
onsite
Permanent
145000 - 190000 USD / Yearly
A multi-office law firm in Seattle is seeking an experienced Insurance Coverage Attorney to join their team. The salary range for the role is 145-190k base with additional structured bonus earnings on a standard billable target of 1800. The firm offers medical, dental, vision and life insurance, unlimited PTO, 401k plus company match, transportation benefits and other perks. They offer a flexible hybrid work structure, allowing attorneys to regularly work-from-home weekly if desired.
2026-03-17T00:00:00Z

Insurance Premium Specialist

Virginia Beach, VA
onsite
Temporary
20.9 - 24.2 USD / Hourly
We are looking for an experienced Insurance Premium Specialist to join our team in Virginia Beach, Virginia. In this long-term contract position, you will play a crucial role in managing insurance billing processes, ensuring accurate account reconciliation, and providing outstanding customer service. This opportunity is ideal for professionals with a strong accounting background and excellent communication skills. Responsibilities: • Process and reconcile insurance premiums to ensure accuracy and compliance with financial standards. • Communicate with customers to provide clear explanations of billing details and resolve inquiries effectively. • Perform detailed account reconciliations to maintain accurate financial records. • Collaborate with internal teams to address discrepancies and improve billing processes. • Ensure timely and accurate completion of all billing functions. • Monitor and report on account activities and discrepancies to relevant stakeholders. • Assist in maintaining accounting records and documentation for audits and compliance purposes. • Provide exceptional customer service by addressing client concerns and ensuring satisfaction. • Review and analyze financial data related to insurance premiums. • Identify opportunities for process improvements within the accounting and billing functions.
2026-03-25T00:00:00Z

Insurance Authorization Coordinator

San Bernardino, CA
onsite
Temporary
19.7885 - 25 USD / Hourly
We are looking for a meticulous and organized Insurance Authorization Coordinator to join our team on a contract basis in San Bernardino, California. In this role, you will be responsible for managing retroactive insurance authorizations and ensuring compliance with healthcare regulations. The ideal candidate will have hands-on experience with the Treatment Authorization Request (TAR) process and a strong background in healthcare billing and insurance coordination. Responsibilities: • Process and submit retroactive insurance authorizations for hospital services, ensuring accuracy and timeliness. • Monitor and follow up on pending and denied authorizations to secure approvals efficiently. • Collaborate with clinical and administrative teams to collect and verify required medical documentation. • Communicate with insurance companies to resolve issues and obtain necessary approvals. • Maintain compliance with hospital policies, as well as state and federal healthcare regulations. • Accurately record and update information within hospital information systems. • Stay informed on updates and best practices related to the Treatment Authorization Request (TAR) process. • Assist with administrative tasks, such as scanning and organizing documentation, to support the authorization process. • Handle inbound and outbound calls related to authorization inquiries and resolutions.
2026-04-10T00:00:00Z

Medical Payment Poster

Indianapolis, IN
onsite
Contract / Temporary to Hire
22 - 24 USD / Hourly
We are seeking a detail-oriented Medical Payment Poster with significant expertise in posting Electronic Remittance Advices (ERAs). This is an exciting opportunity to contribute to the revenue cycle function at a leading healthcare organization. Hours: Choice of Monday-Friday: 8am – 5pm OR 4 10-hour shifts within Monday-Friday Responsibilities for the position include the following:<ul><li>Post payments, adjustments, and denials from insurers and patients into the system with speed and accuracy</li><li>Reconcile Electronic Remittance Advices (ERAs) and paper Explanation of Benefits (EOBs) with outstanding claims</li><li>Identify and correct posting errors to ensure proper allocation of funds</li><li>Collaborate with billing, collections, and denials teams to resolve payment discrepancies</li><li>Maintain precise, up-to-date payment records and documentation</li><li>Assist with monthly reconciliations and other financial reporting as needed</li></ul>
2026-04-08T00:00:00Z

Insurance Billing Specialist

Mundelein, IL
onsite
Permanent
60000 - 65000 USD / Yearly
The salary range for this position is $60,000-$65,000 and it comes with benefits, including medical, vision, dental, life, and disability insurance. To apply to this hybrid role please send your resume to [email protected] Is your current job giving “all-work-no-play” when it should be giving “work-life balance + above market pay rates”? Responsibilities:<ul><li>Ability to prioritize, multitask, manage a high volume of bills per month and meet deadlines.</li><li>Experience with various e-billing vendors (e.g., CounselLink, Bottomline Legal eXchange, Tymetrix, Collaborati, Legal Solutions Suite, Legal Tracker, etc.) and LEDES file knowledge required to perform duties and responsibilities, including but not limited to preparing and submitting bills, budgets, and timekeeper rates according to client requirements.</li><li>Management of timekeepers and coordinate/process appeals as required.</li><li>Ability to execute complex bills in a timely manner (i.e., multiple discounts by matter, split billing, preparation, submission and troubleshooting of electronic bills).</li><li>Monitor outstanding Work in Process (WIP) and Accounts Receivable (AR) balances. Collaborate with billing attorneys to ensure WIP is billed on a timely basis and AR balances are collected withina reasonable period. Follow up with billing attorney and client on all aged AR balances.</li><li>Follow up on collections as directed by either Attorneys or Accounting leadership in support of meeting firm’s financial goals.</li><li>Review and edit prebills in response to attorney requests.</li><li>Proactively monitor potential errors that may result in the rejection of e-bills.</li><li>Research and analyze deductions and provide best course of action for balances.</li><li>Process write-offs following Firm policy.</li><li>Ability to effectively interact and communicate with attorneys, legal administrative assistants, staff, and clients.</li><li>Assist with month-end close as needed.</li><li>Proactively monitor potential errors that may result in the rejection of e-bills.</li><li>Assume additional duties as needed or assigned</li></ul>
2026-03-19T00:00:00Z

Insurance Referral Coordinator

Cincinnati, OH
onsite
Temporary
19 - 22 USD / Hourly
We are looking for a dedicated Insurance Referral Coordinator to join our client's team. In this role, you will play a crucial part in managing prior authorizations for prescription medications and medical services, ensuring patients receive timely and appropriate care. This is a long-term contract position within the healthcare industry, offering an excellent opportunity to contribute to patient-centered care. Responsibilities:• Review and gather necessary documentation, including medical records and physician recommendations, to support prior authorization requests.• Submit and track authorization requests with insurance providers, ensuring timely approvals for prescribed medications and medical services.• Communicate effectively with patients, healthcare providers, and insurance representatives to address authorization-related issues and facilitate resolutions.• Monitor and update the status of authorization requests, notifying healthcare teams about approvals, denials, or pending cases.• Stay informed about insurance policies and regulations to enhance efficiency and compliance in the authorization process.• Analyze trends in insurance denials and collaborate with teams to resolve escalations, appeals, or resubmissions.• Maintain accurate and secure records of authorization activities in compliance with healthcare guidelines.• Provide support in identifying process improvements to streamline prior authorization workflows.
2026-04-08T00:00:00Z

Medical Claims Auditor

Emeryville, CA
remote
Temporary
39.5865 - 45.837 USD / Hourly
We are looking for an experienced Medical Claims Auditor to join our team in Emeryville, California. In this long-term contract position, you will play a pivotal role in ensuring the accuracy and compliance of medical claims while also serving as a trainer to enhance team knowledge and performance. If you have a strong background in medical coding, auditing, and training, this opportunity is ideal for you. Responsibilities:• Conduct detailed audits of paid, pending, and denied medical claims to ensure proper coding, adherence to benefit rules, and compliance with state and federal regulations, including the California Knox-Keene Act and Medi-Cal.• Design and deliver comprehensive training programs for Claims Examiners, focusing on workflows, updated policies, and emerging technologies.• Investigate complex claim issues, including provider disputes and appeals, and identify trends to propose effective corrective actions.• Compile and maintain detailed statistical and quality reports, presenting audit findings and staff performance metrics to management.• Stay informed about federal and state billing laws, including Medicare guidelines, to ensure compliance during health plan audits.• Collaborate with team members to resolve discrepancies and implement efficient claims processing practices.• Assist in the development of new audit procedures and quality control measures to continuously improve operations.• Provide subject matter expertise in medical coding standards, including ICD-10 and CPT codes, to support organizational goals.• Contribute to special projects and initiatives as needed to enhance claims auditing and training functions. If you are interested in this role please apply Now for immediate consideration.
2026-03-24T00:00:00Z

Claims Adjuster

Charlotte, NC
onsite
Permanent
65000 - 90000 USD / Yearly
ESSENTIAL FUNCTIONS: 1. Handle workers’ compensation claims caseload from inception to final settlement involving the following: 2. Original set up of claim. 3. Responsible for performing a factual investigation of claim. 4. Set reserves and determine compensability. 5. Communicating daily with claimants, medical personnel, and representatives from housing authorities for updates. 6. Pay weekly lost time claims and medical bills. 7. Assign rehabilitation referrals and legal representation as needed. 8. Coordinate with nurse case managers, vocational counselors, attorneys, and professional surveillance services to bring claims to a conclusion. 9. Update claims information into Riskmaster Claim’s System to include medical notes and daily activity. 10. Transmit medical bills to bill review vendor, scan, and attach medical bills to claim. 11. File all claims documentation into paper file. 12. Preparing of all required IC forms. 13. Subrogation against third parties. 14. Attend IC hearings or mediations, if required. 15. Settle claims within established dollar authority - $50,000 (settlement/reserve authority established by management). All claims above settlement authority are approved by CEO or CFO. 16. Notify reinsurer of claims that fall under reinsurance category. 17. Closure of claim (and all items necessary for closure, i.e., payment, forms, hard copy of file). 18. Transmit Medicare Secondary Payer through ISO Navigator. 19. Provide status of claims at staff meetings and board meetings when requested. 20. Attend educational seminars, safety seminars, and classes as assigned. 21. Perform “Special Project” work when requested by Management. 22. Assist with the daily operations of the office.
2026-03-17T00:00:00Z

Medical Insurance Claims Specialist

Albuquerque, NM
remote
Temporary
15 - 16 USD / Hourly
We are looking for a detail-oriented Medical Insurance Claims Specialist to join our team on a long-term contract basis. In this role, you will play a critical part in ensuring the accuracy, compliance, and quality of claims processing within the healthcare industry. Working remotely but closely with the team based in San Diego, California, you will help support better financial and member outcomes while contributing to a collaborative and fast-paced environment. NOTE: (Only for New Mexico Residents) Responsibilities:• Conduct audits of pre-lag reports to verify accuracy, completeness, and compliance with established turnaround times.• Investigate and resolve member out-of-pocket concerns to ensure proper claims adjustments.• Monitor daily pre-lag reports for assigned regions and escalate compliance issues as needed.• Analyze daily, weekly, and check-run reports for assigned IPAs to identify potential errors or inconsistencies.• Notify management promptly about compliance concerns related to claims payment timelines.• Perform quality reviews of claims processes to ensure adherence to organizational standards.• Collaborate with team members to identify trends and root causes of recurring issues.• Assist with benefit interpretation and claims adjustments using EZCap or similar platforms.• Maintain documentation and provide detailed audit reports to support continuous improvement initiatives.• Support the implementation of quality measures and compliance protocols within claims operations.
2026-03-26T00:00:00Z

Claims Examiner

New Haven, CT
onsite
Temporary
31 - 31 USD / Hourly
Title: Workers’ Compensation Claim ExaminerLocation: New Haven, CT 06511‑5941, United StatesExperience Required:<ul><li>3+ years of Workers’ Compensation Claim Examiner experience or commensurate transferable experience</li><li>Direct workers’ compensation experience is preferred but not required, provided transferable claims skills are present</li></ul>Key Duties & Responsibilities<ul><li>Handle all aspects of workers’ compensation claims from inception to closure while maintaining strong customer relations.</li><li>Review claim and policy information to establish investigative background.</li><li>Conduct ongoing three‑part investigations, including fact‑finding and statement collection from insureds, claimants, and medical providers.</li><li>Evaluate investigation findings to determine claim compensability.</li><li>Notify insureds, claimants, and attorneys of claim denials when applicable.</li><li>Prepare investigative reports, settlements, denials, and evaluations of involved parties.</li><li>Administer statutory medical and/or indemnity benefits accurately and timely throughout the life of the claim.</li><li>Set medical, indemnity, and expense reserves within authority limits and recommend reserve changes to the Team Leader as needed.</li><li>Perform regular claim reviews and recommend corrective or remedial actions to address issues.</li><li>Identify and escalate unusual or potentially adverse exposures to leadership.</li></ul>Experience & Education Requirements<ul><li>Experience working in a fast‑paced, customer‑focused environment.</li><li>Strong verbal, written, and telephonic communication skills.</li><li>Prior roles requiring high levels of organization, follow‑up, and accountability.</li><li>Workers’ compensation claim handling experience preferred but not required.</li><li>Familiarity with healthcare claims, disability claims, auto/PIP, medical injury, general liability, or medical billing is a plus.</li><li>Prior insurance, legal, or corporate business experience is a plus.</li><li>AIC, RMA, or CPCU coursework or designations are a plus.</li><li>Proficiency with Microsoft Office products.</li><li>Knowledge of medical terminology and bill processing is a plus.</li></ul>Licensing RequirementsClaim Adjuster licenses in Connecticut, New Hampshire, Rhode Island, and Vermont are required but not necessary at the time of posting.If not currently licensed, the selected candidate will be required to obtain an applicable resident or designated home‑state adjuster license and any required additional state licenses
2026-04-07T00:00:00Z

Claims Examiner

New Haven, CT
onsite
Temporary
32 - 35 USD / Hourly
We are seeking a detail-oriented Claims Examiner to join a fast-paced, customer-focused environment. This is a temporary, fully on-site opportunity where the Claims Examiner will manage claims from intake through resolution, ensuring accuracy, compliance, and excellent service throughout the lifecycle of each case.Key Details<ul><li>Service Type: Temporary to hire</li><li>Schedule: 5 days on-site</li><li>Hours: 8:30 AM – 5:00 PM EST</li><li>Location: New Haven, CT</li></ul>Responsibilities<ul><li>Manage workers’ compensation claims from setup through closure</li><li>Review claim and policy information to support investigations</li><li>Conduct thorough investigations, including gathering statements from claimants, insured parties, and medical providers</li><li>Determine claim compensability based on collected facts</li><li>Communicate claim decisions, including denials, to relevant stakeholders</li><li>Prepare detailed reports on investigations, settlements, and claim evaluations</li><li>Administer statutory medical and indemnity benefits in a timely manner</li><li>Set and adjust reserves within authority limits and recommend changes as needed</li><li>Monitor claim progress and recommend corrective actions to leadership</li><li>Coordinate with attorneys on hearings and litigation</li><li>Direct vendors such as nurse case managers and rehabilitation specialists</li><li>Ensure compliance with customer service standards and regulatory requirements</li><li>File necessary documentation with state agencies</li><li>Identify subrogation opportunities and support recovery efforts</li><li>Collaborate with internal teams to deliver high-quality claims handling</li></ul>
2026-04-07T00:00:00Z