Insurance Verification Specialist

Amperos Health

. Verify patient insurance eligibility and benefits using online portals and phone verification .

Posted 11/12/2026full-timeIndiaJuniorWebsite

Core Competencies

Role fit

Core Competencies

Use this summary to align your resume positioning with the role.

Demonstrates expertise in verifying patient insurance eligibility and benefits, maintaining compliance with HIPAA and insurance regulations, and effectively communicating financial liabilities to patients. Proficient in utilizing EHR platforms and online insurance portals to ensure accurate data capture and resolution of claim discrepancies.

Highest-signal resume keywords

Insurance VerificationEHR Platform ExperienceHIPAA ComplianceAttention to DetailClaim Denial Research

ATS Keywords

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Applicant Tracking System Keywords

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Hard Skills

Medical BillingInsurance Claims ProcessingData EntryCo-Insurance CalculationDocumentation Practices

Soft Skills

Excellent Communication SkillsAbility to Work IndependentlyAdaptability to Changing Priorities

Tools & Technologies

EpicMedidataModMedCernerAvailityEmdeonGoogle WorkspaceMicrosoft ExcelZoomSlack

Certifications & Qualifications

High School DiplomaGED

Industry Keywords

HIPAAInsurance RegulationsPatient EligibilityClaim AppealsCross-Functional Teams

About the role

Key responsibilities & impact

Verify patient insurance eligibility and benefits using online portals and phone verification
Extract, document, and maintain accurate insurance information, including policy and group numbers, effective dates, deductibles, copays, and out-of-pocket maximums
Identify and flag eligibility gaps, excluded services, and prior authorization requirements
Research insurance-eligibility claim denials and submit appeals with supporting documentation
Follow up on claim status with insurance carriers and resolve payment discrepancies
Calculate patient co-insurance, deductible, and out-of-pocket liabilities
Communicate insurance findings and financial liability to patients in compliance with HIPAA and collections regulations
Escalate complex cases, including secondary insurance, coordination of benefits, and lapsed coverage, to the Billing Manager or Team Lead
Maintain compliance with HIPAA, state insurance regulations, and client-specific SOPs
Meet daily production targets for claim touches, turnaround time, and accuracy metrics
Work independently and as part of cross-functional teams to ensure accurate insurance data capture, maintenance, and escalation

Requirements

What you’ll need

High School Diploma or GED
1–2 years of medical billing, insurance verification, or collections experience (or equivalent customer service in healthcare)
Experience with multiple EHR platforms (Epic, Medidata, ModMed, Cerner)
Proficiency with online insurance portals (Availity, Emdeon, payer platforms) and phone verification systems
Strong attention to detail and accuracy (>95% quality threshold)
Ability to work independently and meet daily production targets
Excellent communication skills (written and verbal) in English
Proficiency with EHR/PM systems, spreadsheets, and HIPAA-compliant documentation practices
Ability to adapt to changing priorities and work in fast-paced, metric-driven environments
Familiarity with Availity, Emdeon, UHC, Aetna, BCBS, Humana, Cigna, Medicaid, and Medicare systems
Familiarity with Kipu, CollaborateMD, Medidata, ModMed, Cerner, Epic, NextGen, and CareLogic
Proficiency with Google Workspace, Microsoft Excel, Zoom, Slack, and standard communication platforms
Standard business hours availability, with EST/CST preferred for client coordination
Reliable internet connection of at least 25 Mbps
Phone for client calls
HIPAA-compliant workspace

Benefits

Comp & perks

Remote or hybrid work arrangement
Reliable internet (≥25 Mbps), laptop/desktop, phone for client calls
HIPAA-compliant workspace
Full-time, permanent position
Shift flexibility for client support