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13 results for Insurance Verification jobs

Insurance Verification Specialist
  • Baltimore, MD
  • onsite
  • Temporary
  • 18 - 23 USD / Hourly
  • <p>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!</p><p><br></p><p>Responsibilities:</p><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><p><br></p>
  • 2026-04-10T00:00:00Z
Insurance Verification Coordinator
  • Sacramento, CA
  • onsite
  • Contract / Temporary to Hire
  • 22.8 - 25 USD / Hourly
  • We are looking for an Insurance Verification Coordinator to join our team in Sacramento, California. This role is a Contract to possible long-term opportunity, initially covering for a team member on leave for at least two months, with the potential for an ongoing position based on performance. The position requires in-office work and adherence to Covid vaccination guidelines.<br><br>Responsibilities:<br>• Review insurance contracts to determine allowable amounts for scheduled procedures.<br>• Calculate patient responsibility based on benefits and scheduled treatments.<br>• Interpret copay, coinsurance, deductible, and out-of-pocket maximums to assess claim adjudication and patient financial obligations.<br>• Analyze and interpret insurance benefits effectively to provide accurate information.<br>• Communicate patient balances and explain insurance coverage clearly and professionally.<br>• Apply a strong understanding of various insurance products, including Medicare Advantage plans.<br>• Maintain efficiency in a fast-paced, high-volume environment while meeting deadlines.<br>• Collaborate effectively within a team to ensure smooth operations.<br>• Handle pressure well, consistently achieving and exceeding performance goals.<br>• Ensure accurate cash posting for patient accounts.
  • 2026-04-15T00:00:00Z
Insurance Services Representative
  • Shrewsbury, MA
  • onsite
  • Permanent
  • 40000 - 60000 USD / Yearly
  • <p>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 &amp; Casualty insurance business. This role focuses on servicing existing clients, quoting new business, handling endorsements and renewals, and delivering exceptional member experiences.</p><p><br></p><p><strong>What You’ll Do</strong></p><ul><li>Quote, bind, and service P&amp;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 Counsel
  • New York, NY
  • onsite
  • Permanent
  • 200000 - 225000 USD / Yearly
  • We are looking for an experienced Insurance Coverage Counsel to join our dynamic legal team in New York, New York. In this role, you will provide strategic legal expertise to insurance carriers and self-insured entities, focusing on complex insurance coverage matters and litigation. This is an excellent opportunity for an experienced attorney to work on high-profile cases and collaborate with a team of skilled professionals.<br><br>Responsibilities:<br>• Analyze and interpret insurance policies to deliver comprehensive coverage opinions.<br>• Manage complex insurance coverage litigation from initiation through resolution.<br>• Draft pleadings, motions, and detailed coverage position letters to support legal strategies.<br>• Represent clients in mediations, arbitrations, and court proceedings, ensuring effective advocacy.<br>• Offer strategic counsel to insurers on high-stakes claims and exposure issues.<br>• Work closely with litigation teams to address overlapping defense and coverage matters.<br>• Conduct thorough legal research to support case strategies and recommendations.<br>• Ensure compliance with relevant laws and regulations while advising clients.<br>• Collaborate with clients to develop tailored solutions for intricate coverage disputes.
  • 2026-04-14T00:00:00Z
Insurance Coverage Attorney
  • New York, NY
  • onsite
  • Permanent
  • 160000 - 195000 USD / Yearly
  • We are looking for a skilled Insurance Coverage Attorney to join our team in New York, New York. This position is ideal for mid-level attorneys who want to enhance their expertise in insurance coverage and litigation while working on a variety of challenging legal matters. You will play a critical role in providing legal analysis and representation to clients, ensuring their interests are effectively protected.<br><br>Responsibilities:<br>• Analyze insurance policies and prepare detailed coverage opinions.<br>• Collaborate with senior attorneys in managing insurance-related litigation and resolving disputes.<br>• Draft legal documents such as pleadings, motions, and memoranda.<br>• Participate in depositions, mediations, and court proceedings as needed.<br>• Conduct in-depth legal research on insurance law and coverage-related issues.<br>• Maintain clear and effective communication with clients regarding case strategies and updates.
  • 2026-04-14T00:00:00Z
Insurance Coverage Attorney
  • Seattle, WA
  • onsite
  • Permanent
  • 145000 - 190000 USD / Yearly
  • <p>A multi-office law firm in Seattle is seeking an experienced <strong>Insurance Coverage</strong> Attorney to join their team.</p><p><br></p><p>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.</p><p><br></p><p>They offer a flexible hybrid work structure, allowing attorneys to regularly work-from-home weekly if desired.</p>
  • 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.<br><br>Responsibilities:<br>• Process and reconcile insurance premiums to ensure accuracy and compliance with financial standards.<br>• Communicate with customers to provide clear explanations of billing details and resolve inquiries effectively.<br>• Perform detailed account reconciliations to maintain accurate financial records.<br>• Collaborate with internal teams to address discrepancies and improve billing processes.<br>• Ensure timely and accurate completion of all billing functions.<br>• Monitor and report on account activities and discrepancies to relevant stakeholders.<br>• Assist in maintaining accounting records and documentation for audits and compliance purposes.<br>• Provide exceptional customer service by addressing client concerns and ensuring satisfaction.<br>• Review and analyze financial data related to insurance premiums.<br>• 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.<br><br>Responsibilities:<br>• Process and submit retroactive insurance authorizations for hospital services, ensuring accuracy and timeliness.<br>• Monitor and follow up on pending and denied authorizations to secure approvals efficiently.<br>• Collaborate with clinical and administrative teams to collect and verify required medical documentation.<br>• Communicate with insurance companies to resolve issues and obtain necessary approvals.<br>• Maintain compliance with hospital policies, as well as state and federal healthcare regulations.<br>• Accurately record and update information within hospital information systems.<br>• Stay informed on updates and best practices related to the Treatment Authorization Request (TAR) process.<br>• Assist with administrative tasks, such as scanning and organizing documentation, to support the authorization process.<br>• Handle inbound and outbound calls related to authorization inquiries and resolutions.
  • 2026-04-10T00:00:00Z
Insurance Billing Specialist
  • Mundelein, IL
  • onsite
  • Permanent
  • 60000 - 65000 USD / Yearly
  • <p><em>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]</em></p><p><br></p><p><em>Is your current job giving “all-work-no-play” when it should be giving “work-life balance + above market pay rates”? </em></p><p><br></p><p><strong>Responsibilities:</strong></p><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><p> </p>
  • 2026-03-19T00:00:00Z
Insurance Referral Coordinator
  • Cincinnati, OH
  • onsite
  • Temporary
  • 19 - 22 USD / Hourly
  • <p>We are looking for a dedicated Insurance Referral Coordinator to join our client&#39;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.</p><p><br></p><p>Responsibilities:</p><p>• Review and gather necessary documentation, including medical records and physician recommendations, to support prior authorization requests.</p><p>• Submit and track authorization requests with insurance providers, ensuring timely approvals for prescribed medications and medical services.</p><p>• Communicate effectively with patients, healthcare providers, and insurance representatives to address authorization-related issues and facilitate resolutions.</p><p>• Monitor and update the status of authorization requests, notifying healthcare teams about approvals, denials, or pending cases.</p><p>• Stay informed about insurance policies and regulations to enhance efficiency and compliance in the authorization process.</p><p>• Analyze trends in insurance denials and collaborate with teams to resolve escalations, appeals, or resubmissions.</p><p>• Maintain accurate and secure records of authorization activities in compliance with healthcare guidelines.</p><p>• Provide support in identifying process improvements to streamline prior authorization workflows.</p>
  • 2026-04-08T00:00:00Z
Medical Insurance Claims Specialist
  • Albuquerque, NM
  • remote
  • Temporary
  • 15 - 16 USD / Hourly
  • <p>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) </p><p><br></p><p>Responsibilities:</p><p>• Conduct audits of pre-lag reports to verify accuracy, completeness, and compliance with established turnaround times.</p><p>• Investigate and resolve member out-of-pocket concerns to ensure proper claims adjustments.</p><p>• Monitor daily pre-lag reports for assigned regions and escalate compliance issues as needed.</p><p>• Analyze daily, weekly, and check-run reports for assigned IPAs to identify potential errors or inconsistencies.</p><p>• Notify management promptly about compliance concerns related to claims payment timelines.</p><p>• Perform quality reviews of claims processes to ensure adherence to organizational standards.</p><p>• Collaborate with team members to identify trends and root causes of recurring issues.</p><p>• Assist with benefit interpretation and claims adjustments using EZCap or similar platforms.</p><p>• Maintain documentation and provide detailed audit reports to support continuous improvement initiatives.</p><p>• Support the implementation of quality measures and compliance protocols within claims operations.</p>
  • 2026-04-14T00:00:00Z
Claims Examiner
  • New Haven, CT
  • onsite
  • Temporary
  • 31 - 31 USD / Hourly
  • <p><strong>Title:</strong> Workers’ Compensation Claim Examiner</p><p><strong>Location: </strong>New Haven, CT 06511‑5941, United States</p><p><strong>Experience Required:</strong></p><ul><li>3+ years of Workers’ Compensation Claim Examiner experience <strong>or</strong> commensurate transferable experience</li><li>Direct workers’ compensation experience is preferred but not required, provided transferable claims skills are present</li></ul><p><strong>Key Duties &amp; Responsibilities</strong></p><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><p><strong>Experience &amp; Education Requirements</strong></p><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><p><strong>Licensing Requirements</strong></p><p>Claim Adjuster licenses in <strong>Connecticut, New Hampshire, Rhode Island, and Vermont</strong> are required but <strong>not necessary at the time of posting</strong>.</p><p>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</p>
  • 2026-04-07T00:00:00Z
Claims Examiner
  • New Haven, CT
  • onsite
  • Temporary
  • 32 - 35 USD / Hourly
  • <p>We are seeking a detail-oriented <strong>Claims Examiner</strong> 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.</p><p><strong>Key Details</strong></p><ul><li><strong>Service Type:</strong> Temporary to hire</li><li><strong>Schedule:</strong> 5 days on-site</li><li><strong>Hours:</strong> 8:30 AM – 5:00 PM EST</li><li><strong>Location:</strong> New Haven, CT</li></ul><p><strong>Responsibilities</strong></p><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