Insurance Verification Specialist

AdaptHealth

. Learn and maintain knowledge of current products and services offered by AdaptHealth .

Posted 10/27/2026full-timeRemote • United StatesJunior💰 $15 - $26 per hourWebsite

Core Competencies

Role fit

Core Competencies

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Demonstrates proficiency in verifying patient insurance coverage, obtaining pre-authorizations, and managing patient documentation within EMR systems. Strong analytical, communication, and customer service skills are essential for resolving coverage issues and educating patients on financial responsibilities.

Highest-signal resume keywords

Insurance VerificationPre-Authorization ProcessingEMR Database ManagementCustomer Service ExcellenceAnalytical Problem-Solving

ATS Keywords

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Applicant Tracking System Keywords

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Hard Skills

Insurance Coverage VerificationPre-AuthorizationEMR Systems NavigationMicrosoft Office ProficiencyDocumentation Accuracy

Soft Skills

Excellent Communication SkillsAttention to DetailAbility to Prioritize TasksAdaptabilityTeam Collaboration

Tools & Technologies

Authorization GuidelinesInsurance GuidelinesFee SchedulesNPIPECOS

Industry Keywords

MedicareMedicaidCommercial Health PlansHealthcare AdministrationInsurance Customer Service

About the role

Key responsibilities & impact

Learn and maintain knowledge of current products and services offered by AdaptHealth
Review required documentation for accuracy
Verify patient insurance coverage, eligibility, co-insurances, deductibles, authorization requirements, and coverage limitations
Obtain pre-authorizations and process physician orders with insurance carriers
Answer inbound calls and make outbound calls to patients, referrals, and insurance companies
Obtain, analyze, and verify referral information
Create orders and schedule patients to receive ordered equipment
Educate patients about financial responsibility when applicable
Resolve coverage issues and escalate complicated issues to a Manager
Enter accurate patient demographic and insurance data into EMR databases
Navigate multiple online EMR systems and payer websites to obtain documentation
Communicate insurance trends to Customer Service and Management
Verify insurance carriers in the company database and request new carrier entries when needed
Contact patients when documentation does not meet payer guidelines and provide updates or additional options
Meet quality assurance requirements and key performance metrics
Facilitate resolution of customer complaints and problems
Use company-provided tools, including Authorization Guidelines, Insurance Guidelines, Fee Schedules, NPI, PECOS, and How-To documents

Requirements

What you’ll need

High School Diploma or equivalent
One (1) year work related experience in health care administrative, financial, or insurance customer services, claims, billing, call center or management regardless of industry
Senior level requires two (2) years of work-related experience and one (1) year of exact job experience
Proficient computer skills and knowledge of Microsoft Office
General knowledge of Medicare, Medicaid, and Commercial health plan methodologies and documentation requirements preferred
Excellent customer service skills
Analytical and problem-solving skills with attention to detail
Excellent verbal and written communication skills
Ability to prioritize and manage multiple tasks
Ability to learn new technologies and understand data flow through systems and system interaction
Ability to work independently and as part of a group
Ability to adapt and be flexible in a rapidly changing environment
Ability to work flexible hours of operation