Insurance Verification Specialist - Full-Time

Insurance Verification Specialist - Full-Time

Premier Hematology is seeking a detail-oriented Insurance Verification Specialist to join our team full-time. In this role, you'll be the first line of defense in making sure our patients' insurance coverage is confirmed and authorized before treatment, so our clinical team can focus on care.

Responsibilities:

• Verify patient insurance coverage, eligibility, and benefits prior to appointments and treatment

• Obtain prior authorizations and referrals required by insurance payers

• Contact insurance companies to confirm coverage limits, co-pays, deductibles, and out-of-pocket costs

• Accurately document and update insurance information in the patient record/EHR

• Coordinate with billing, front desk, and clinical staff to resolve coverage discrepancies

• Track and follow up on pending authorizations, denials, and appeals

• Explain insurance benefits and financial responsibilities to patients as needed

Qualifications:

• Prior experience in insurance verification, medical billing, or healthcare administration (specialty/oncology practice experience a plus)

• Working knowledge of major insurance payers, prior authorization, and referral processes

• Strong attention to detail and organizational skills

• Excellent phone and written communication skills

• Experience with EHR/practice management software preferred

Schedule: Full-time, Monday-Friday
Pay: $20-$23 per hour, based on experience
Location: Queens, NY (on-site/hybrid/remote)