Job Overview:

Our client is looking for an Insurance Verification Specialist (Healthcare) to support their Outreach & Enrollment team. In this role, you will be responsible for verifying potential patients' insurance eligibility and determining their estimated out-of-pocket costs for a Chronic Care Management (CCM) program, including copays and coinsurance.

The ideal candidate has experience working with U.S. health insurance plans, understands insurance benefits and coverage, and is comfortable contacting insurance companies directly to obtain accurate information.

Schedule: Monday - Friday, 9:00 AM - 1:00 PM PST; Part-time, 20 work hours per week

Responsibilities:

- Verify insurance eligibility and benefits for prospective patients using online insurance portals and phone calls to insurance providers.
- Confirm whether a patient's insurance covers Chronic Care Management (CCM) services, including CPT codes 99490 and 99439.
- Determine potential patient financial responsibility, including copays, coinsurance, deductibles, and other applicable out-of-pocket costs.
- Verify primary and secondary insurance coverage when applicable.
- Contact insurance representatives to clarify coverage details or resolve discrepancies.
- Accurately document verification results in our internal platform, including coverage details, estimated patient costs, and insurance call reference numbers.
- Communicate findings promptly and clearly to the Outreach & Enrollment team so they can confidently discuss program costs with prospective patients.
- Flag any coverage uncertainties or issues requiring additional follow-up.




- Maintain accurate records while following HIPAA and patient confidentiality requirements.

Requirements:

- Previous experience with U.S. healthcare insurance eligibility and benefits verification.
- Familiarity with Medicare and commercial insurance plans.
- Understanding of copays, coinsurance, deductibles, and patient financial responsibility.
- Experience using insurance provider portals and contacting insurance companies by phone.
- Excellent attention to detail and organizational skills.
- Ability to work independently and manage verification requests efficiently.
- Comfortable learning and navigating current software platforms.

Preferred Qualifications:

- Experience verifying benefits for Medicare patients.
- Familiarity with Chronic Care Management (CCM) services or other outpatient medical services.
- Experience working with remote U.S.-based healthcare teams.
- Familiarity with CPT codes and medical billing terminology.

Independent Contractor Perks:

- Permanent work from home
- Immediate hiring

Note: Please click the "Apply" button to complete your application, including the assessment questions, technical check, and voice recording. Your hourly pay rate will be established based on your performance in the application process; submissions with all requirements fulfilled will receive priority review.

One application, multiple possibilities: When you apply, our team reviews your background against all current openings, not just this one! If a different role fits your skills, we'll get in touch! We also encourage you to keep exploring our job board and apply directly to any position that excites you.

📌 Insurance Verification Specialist (Healthcare) (India)
🏢 BruntWork
📍 India