Insurance Verification Specialist – US Healthcare

ABOUT THE ROLE

F5 Global Talent is hiring an experienced Insurance Verification Specialist to support U.S. healthcare practices as part of their revenue cycle operations.

• A large part of your day will be spent on live calls with U.S. insurance companies — verifying patient eligibility and benefits, confirming deductibles, copays, coinsurance, out-of-pocket limits, network status, and other coverage details.
• You’ll document verification results accurately, maintain patient insurance information in the practice-management or EHR system, and identify discrepancies before they turn into claim denials or payment delays.

This is a full-time, remote role for candidates based in India, working U.S. business hours.

IMPORTANT: This role requires hands-on U.S. healthcare experience. We’re looking for candidates with at least 2 years of experience in U.S. medical billing, insurance verification, or healthcare revenue cycle management. You must also be comfortable making outbound calls to U.S. insurance payer representatives.

WHAT YOU’LL DO

• Make outbound calls to U.S. insurance companies to verify patient eligibility and benefits
• Navigate payer IVR systems and speak directly with payer representatives
• Confirm and document deductibles, copays, coinsurance, out-of-pocket limits, plan type, and network status
• Identify prior-authorization or referral requirements when applicable
• Record payer reference numbers and document every verification accurately
• Collect and verify insurance information before appointments or services
• Enter and maintain patient demographic and insurance data in athenahealth or similar systems
• Identify discrepancies that could lead to claim denials or delays
• Follow up on unresolved insurance issues until they are clarified
• Maintain accurate documentation while handling confidential patient information
• Meet productivity, quality, and accuracy standards
• WHAT WE’RE LOOKING FOR
• 2+ years of hands-on experience in U.S. medical billing, insurance verification, or U.S. healthcare RCM
• Experience making outbound calls to U.S. insurance companies
• Strong insurance eligibility and benefits-verification experience
• Working knowledge of U.S. healthcare revenue cycle management
• Understanding of deductibles, copays, coinsurance, out-of-pocket maximums, network status, and related insurance terminology
• Experience entering patient and insurance information into athenahealth, an EHR/EMR, or a practice-management system
• Strong spoken English for live conversations with U.S. payer representatives
• Strong written English and documentation skills
• Excellent attention to detail and data accuracy
• Ability to work independently and follow issues through to resolution
• Availability to work U.S. business hours

NICE TO HAVE

• Maternity or OB-GYN benefits-verification experience
• Maternity or OB-GYN billing experience
• Dental billing or insurance-verification experience
• Medical claims-processing experience
• Insurance follow-up or AR experience
• Patient-registration experience
• Prior authorization or precertification experience
• Experience with EHR or EMR platforms beyond athenahealth
• Medicaid billing experience for U.S. healthcare practices

ABOUT F5 GLOBAL TALENT

F5 Global Talent connects experienced professionals with leading U.S. companies for full-time, long-term remote roles. We are the direct employer and provide payroll, equipment, HR support, and ongoing support throughout the engagement.

APPLY HERE https://www.f5globaltalent.com/careers/us-medical-billing-executive-001