Insurance Verification Representative

This is a seasonal role from August through January.

This is an onsite role with work hours possible from 7 am to 6 pm Monday through Friday.

Occasional weekend opportunities to work may be available.

• Complete accurate registration and insurance verification for new and returning patients.
• Ensure all patient demographic and payer data is correct and up-to-date.
• Assist with referral management and prior authorizations as needed.
• Support medical billing efforts by screening and updating payer data to ensure clean claims.
• Follow up on unpaid or denied claims and assist in preparing insurance appeals.
• Maintain detailed documentation in systems to support billing and compliance workflows.
• Assist in resolving billing issues related to vaccination services.
• Monitor and clear assigned work queues, reports, and pending authorizations.
• Comply with HIPAA and confidentiality standards at all times.
• High school diploma or equivalent.
• Prior customer service experience, preferably in a healthcare setting.
• Working knowledge of registration and insurance verification.
• Clear, professional written and verbal communication skills.
• Proficiency in Microsoft Office Suite and basic data entry/typing skills.
• Strong attention to detail, organization, and time management.
• Ability to work independently and in a team.
• Ability to maintain patient confidentiality and professionalism in all interactions.
• 1 year of experience in healthcare office setting, performing registration, insurance verification, or billing.
• Familiarity with medical terminology, insurance processes, and payer systems (e.g., Medicaid, Medicare).
• Experience working with CPT, ICD-10, HCPCS codes.
• Prior experience using Epic or other EHR/billing systems.
• Certificate in Medical Billing and Coding (CCA) or related credential is highly desirable.
• Familiarity with vaccination billing and reimbursement guidelines.
• Detail-Oriented: You ensure accuracy in all data entry and billing support functions.
• Curious: You ask questions, seek to understand and continuously learn.
• Dependable: You show up on time, meet deadlines, and complete tasks fully.
• Collaborative Communicator: You communicate clearly and respectfully with team members and patients.