Insurance Verification Specialist
Sagan RecruitmentCore Responsibilities
Location: Remote (LATAM) Salary Range: 1600 USD/month Work Schedule: Monday to Friday; 08:00 AM – 05:00 PM (EST) NOTE: INDEPENDENT CONTRACTOR POSITION Company Overview: Sagan is an exclusive membership community for top executives, founders, and CEOs seeking to hire and maximize the impact of international talent. We bridge the gap between global talent and U.S.-based businesses, connecting candidates from regions like Latin America, the Philippines, India, Pakistan, Bangladesh, and Africa with leading American companies. Sagan provides a high-performance remote work environment, ensuring access to world-class opportunities for top-tier professionals. About the Company: Sagan represents a growing healthcare organization committed to delivering exceptional patient experiences and operational excellence. The team focuses on proactive patient support and ensuring insurance coverage is verified accurately before appointments, helping patients receive timely care while minimizing billing issues and claim denials. Position Overview: We are seeking a detail-oriented Insurance Verification Specialist to support patient access operations by verifying insurance eligibility and benefits prior to scheduled appointments. This role is responsible for identifying potential coverage issues, communicating benefits information to patients, and collaborating with internal teams to resolve insurance-related concerns before they impact patient care. The ideal candidate has experience working with U.S. health insurance plans, understands payer requirements, and thrives in a fast-paced healthcare environment where accuracy and proactive communication are essential. Key Responsibilities: Insurance Verification & Eligibility Verify patient insurance eligibility and benefits prior to scheduled appointments. Review coverage details including deductibles, copays, coinsurance, and out-of-pocket responsibilities. Confirm payer requirements and identify potential coverage limitations or issues. Maintain accurate documentation of verification activities and findings. Patient Communication Communicate insurance benefits and coverage information clearly and professionally to patients. Answer questions regarding coverage and patient financial responsibilities. Escalate complex issues to management when necessary. Issue Resolution & Coordination Proactively identify and resolve insurance-related issues before patient appointments. Collaborate with internal departments to ensure timely resolution of eligibility concerns. Follow up on missing or incomplete information to avoid delays in care. Maintain compliance with HIPAA and confidentiality requirements. Documentation & Process Support Maintain organized and accurate records. Ensure work is completed within established turnaround times. Support continuous improvement initiatives and process optimization efforts. Assist with additional patient access and administrative tasks as needed. Qualifications: 2+ years of experience in insurance verification, patient access, medical administration, or healthcare operations. Strong understanding of U.S. health insurance plans, including Commercial Insurance, Medicare, and Medicaid. Experience verifying insurance eligibility and benefits. Familiarity with payer requirements and coverage guidelines. Strong attention to detail and organizational skills. Excellent verbal and written English communication skills. Ability to manage multiple priorities in a fast-paced environment. Strong problem-solving and customer service skills. Ability to work independently and collaborate effectively with internal teams. Nice-to-Haves: Experience with EMR/EHR systems. Experience with prior authorizations or referral management. Knowledge of medical billing and revenue cycle processes. Familiarity with healthcare scheduling workflows. Experience working in specialty practices or high-volume healthcare environments.
Requirements
Experience with EMR/EHR systems. Experience with prior authorizations or referral management. Knowledge of medical billing and revenue cycle processes. Familiarity with healthcare scheduling workflows. Experience working in specialty practices or high-volume healthcare environments.
Additional Information
Experience Level
Mid-Level
Employment Type
full-time
Work Mode
Remote