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We are looking for an Insurance Coordinator to support insurance-related workflows for a service-focused team in San Jose, California. This Long-term Contract position is ideal for someone who is highly organized, detail-oriented, and experienced in reviewing coverage information to help ensure efficient coordination of services. The person in this role will work closely with patients, providers, and payers to confirm benefits, secure approvals, and maintain accurate documentation.
Job Responsibility
Confirm active medical coverage and benefit details with insurance carriers before services are scheduled or delivered
Obtain required prior authorizations and referrals to prevent delays in service and support timely care coordination
Review payer guidelines and plan rules to determine eligibility, coverage limits, and out-of-pocket responsibilities
Communicate with internal teams, patients, and insurance representatives to resolve verification issues and missing information
Maintain complete and accurate records of insurance activity, authorization status, and follow-up actions in appropriate systems
Track pending approvals and proactively follow up with payers to ensure decisions are received within expected timeframes
Escalate complex coverage or authorization concerns when additional review or intervention is needed
Requirements
Hands-on experience with medical insurance verification in a healthcare or service-related environment
Working knowledge of prior authorizations, insurance referrals, and payer eligibility review processes
Ability to interpret insurance benefits, coverage terms, and authorization requirements with accuracy
Strong attention to detail and the ability to manage multiple verification tasks in a fast-paced setting
Effective verbal and written communication skills for interacting with patients, team members, and insurance contacts
Proficiency in documenting insurance activity clearly and maintaining organized records
Familiarity with medical insurance processes and standard coordination practices