Benefits Verification Specialist

Reimbursement Support Specialist

Schedule: Monday to Friday, 8-hour shift between 7:00 AM and 7:00 PM CST (must be available for all shifts)

Location: Remote – must reside in the DFW area of Texas (Equipment Provided)

Pay Range: $18/hr.+ BOE

Duration: 3-4 Month Project - Starting December 2nd, 2025

Overview: We’re seeking detail-oriented professionals with healthcare or insurance experience in a call center setting to join a growing patient support program. In this role, you’ll assist providers and patients with insurance-related processes, ensuring accurate benefit details, smooth authorizations, and clear communication between all parties involved. This position offers a structured environment, steady workflow, and the opportunity to contribute to a team that helps patients access prescribed therapies efficiently.

Responsibilities:

• Review and verify patient insurance benefit details according to program standards.
• Assist healthcare offices and patients with completing and submitting insurance forms and program documentation.
• Prepare and submit authorization requests and follow up on pending cases to ensure timely resolution.
• Provide high-quality customer service to internal and external stakeholders, addressing inquiries promptly and escalating complex issues as needed.
• Maintain consistent communication with provider offices, payer contacts, and pharmacy staff to support reimbursement workflows.
• Identify and report reimbursement delays or trends to leadership.
• Process and organize insurance and patient-related correspondence.
• Compile and provide documentation necessary for authorization requests, including demographic and provider information.
• Collaborate with internal departments to ensure program accuracy and efficiency.
• Communicate effectively with payer representatives to confirm benefits and resolve discrepancies.
• Follow established operating procedures and use sound judgment to resolve moderately complex issues.
• Document and report any adverse events in compliance with training and internal requirements.
• Perform additional duties as assigned.

Qualifications:

• High school diploma or GED required.
• Minimum of one year of experience in a healthcare, pharmacy, or insurance environment.

Skills and Competencies:

• Excellent written and verbal communication skills.
• Strong customer service and relationship-building abilities.
• Proficient in Microsoft Excel, Outlook, and Word.
• Highly organized with strong attention to detail.
• Effective problem-solving and time management skills.
• Familiarity with medical and pharmacy benefit structures preferred.
• Ability to work independently and collaboratively in a team environment.