Job Description
Are you a healthcare administrative professional looking for a remote opportunity to utilize your insurance verification and prior authorization expertise? We are seeking a dedicated Insurance Verification Coordinator to join our growing specialty pharmacy operations team. In this fully remote role, you will play a vital part in patient care by acting as the main bridge between health plans, provider offices, and patients to ensure timely access to critical medications.
This fast-paced position relies on your hands-on experience independently submitting prior authorizations, managing appeals, and accurately verifying complex benefits directly with insurance carriers. If you are a professional multi-tasker with a background in managed care or pharmacy environments who thrives on meeting high-quality performance metrics, this 3-month contract position with long-term potential is the perfect opportunity to advance your career.
salary: $17.99 - $18 per hour
shift: First
work hours: 8 AM - 6 PM
education: High School
Responsibilities
Position Summary: Support specialty pharmacy operations by obtaining, verifying, and documenting comprehensive patient insurance eligibility. This role focuses on navigating prior authorizations, coordinating secondary benefits, and managing a high volume of daily referral queues to minimize care delays.
Key Responsibilities: - Remotely verify insurance eligibility for required services and log findings securely within the database.
- Execute end-to-end prior authorization processes and appeals by directly collaborating with physician offices and insurance plans.
- Review and configure complex coordination of benefits (COB) information and ensure Medicare assignment documents are on file.
- Calculate patients' financial liabilities, resolve billing or eligibility rejections, and identify available copay cards or manufacturer assistance programs.
- Manage inbound internal queues and process a high volume of 25 or more daily patient referrals while maintaining a 95% quality score.
Requirements: - High School Diploma or equivalent credential.
- Minimum of 1 year of direct experience in healthcare medical billing or insurance verification.
- Hands-on experience contacting health plans to verify benefits and independently submitting prior authorizations.
- strong technical proficiency with Microsoft Office applications.
- Exceptional customer service and phone communication skills.
Skills
- Microsoft Office
- Vendor Management
- Insurance Claim Processing
Qualifications
- Years of experience: 2 years
- Experience level: Experienced
Randstad is a world leader in matching great people with great companies. Our experienced agents will listen carefully to your employment needs and then work diligently to match your skills and qualifications to the right job and company. Whether you're looking for temporary, temporary-to-permanent or permanent opportunities, no one works harder for you than Randstad.
Equal Opportunity Employer: Race, Color, Religion, Sex, Sexual Orientation, Gender Identity, National Origin, Age, Genetic Information, Disability, Protected Veteran Status, or any other legally protected group status.
At Randstad, we welcome people of all abilities and want to ensure that our hiring and interview process meets the needs of all applicants. If you require a reasonable accommodation to make your application or interview experience a great one, please contact HRsupport@randstadusa.com.
Pay offered to a successful candidate will be based on several factors including the candidate's education, work experience, work location, specific job duties, certifications, etc. In addition, Randstad offers a comprehensive benefits package, including: medical, prescription, dental, vision, AD&D, and life insurance offerings, short-term disability, and a 401K plan (all benefits are based on eligibility).
This posting is open for thirty (30) days.
It is unlawful in Massachusetts to require or administer a lie detector test as a condition of employment or continued employment. An employer who violates this law shall be subject to criminal penalties and civil liability.
Job Tags
Hourly pay, Permanent employment, Contract work, Temporary work, Work experience placement, Work at office, Remote work, Shift work