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Insurance Verification Specialist

https://www.roberthalf.com Logo

Robert Half

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Location:
United States , Minneapolis

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Category:
Customer Service

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Contract Type:
Employment contract

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Salary:

Not provided
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Job Description:

We are looking for a detail-oriented Insurance Verification Specialist to support patient access and coverage verification for healthcare services.

Job Responsibility:

  • Review insurance benefits, referral conditions, and authorization guidelines to determine coverage requirements before scheduled services
  • Work through payer websites and communication channels to submit authorization requests and provide supporting clinical details when needed
  • Record verification and authorization outcomes in the patient record using accurate medical terminology and complete documentation
  • Update coverage information in health records to reflect the most current insurance details obtained during review activities
  • Arrange pre-authorizations, pre-certifications, and additional approvals for inpatient and outpatient services across multiple departments and care settings
  • Identify delays or obstacles that may affect authorization approval and escalate issues promptly to support continuity of patient care
  • Communicate clearly with internal teams, payers, and other stakeholders to resolve coverage questions and support service readiness
  • Participate in virtual training and follow established workflows, policies, and quality standards while handling assigned tasks

Requirements:

  • Experience in customer service, insurance verification, healthcare support, or a related administrative role
  • Working knowledge of insurance plans, referrals, prior authorization processes, and medical coverage review
  • Ability to document accurately in patient records and maintain a high level of attention to detail
  • Strong verbal and written communication skills for interacting with payers, care teams, and support staff
  • Familiarity with Microsoft Office applications and web-based systems used for verification and documentation
  • Understanding of compliance expectations, policies, and procedures in a healthcare or regulated environment
  • Ability to manage multiple tasks, troubleshoot issues, and stay organized in a fast-paced setting

Nice to have:

  • Prior authorization experience focused on medication prior authorizations
  • Experience submitting authorization requests through payer portals and documenting/communicating within Epic
  • Strong understanding of insurance verification, pharmacy or medical authorization workflows, and payer guidelines
What we offer:
  • Medical insurance
  • Vision insurance
  • Dental insurance
  • Life insurance
  • Disability insurance
  • 401(k) plan

Additional Information:

Job Posted:
May 15, 2026

Employment Type:
Fulltime
Work Type:
On-site work
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