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Healthcare Verification Specialist
The Hello Team. Handle customer inquiries and provide accurate information via inbound/outbound phone calls and email communications .
Core Competencies
Role fitCore Competencies
Use this summary to align your resume positioning with the role.
Demonstrates proficiency in customer service and appointment coordination within healthcare settings, with a strong understanding of insurance processes and the ability to maintain accurate records. Capable of managing multiple tasks efficiently while delivering high-quality support to patients and caregivers.
Highest-signal resume keywords
Insurance Eligibility VerificationDurable Medical Equipment (DME) ProcessesAppointment CoordinationCustomer Service ExcellenceProficiency in Microsoft Office
ATS Keywords
Tailor your resumeApplicant Tracking System Keywords
Tip: use these terms in your resume and cover letter to boost ATS matches.
Hard Skills
Insurance BillingPrior AuthorizationsRecord MaintenanceAppointment SchedulingInsurance Benefits UnderstandingEMR/EHR Systems FamiliarityProblem-SolvingAttention to DetailMulti-TaskingFast-Paced Environment Adaptability
Soft Skills
Interpersonal SkillsCommunication SkillsOrganizational SkillsResourcefulnessSelf-Motivation
Tools & Technologies
Microsoft Office (Word, Excel, Outlook)Insurance PortalsBilling PlatformsDocument Management SystemsEmail
Industry Keywords
HealthcareUrgent CareMedical OfficePatient SupportCustomer Inquiries
About the role
Key responsibilities & impact- Handle customer inquiries and provide accurate information via inbound/outbound phone calls and email communications
- Conduct outbound calls to patients and caregivers to schedule, confirm, and follow up on medical appointments
- Manage inbound calls related to appointment coordination and patient support
- Schedule, reschedule, and coordinate medical appointments based on patient and caregiver needs
- Answer questions regarding appointment details, availability, timing, and related information
- Provide updates regarding test result availability and expected turnaround times, when applicable
- Maintain accurate and detailed records of customer interactions, appointments, and communications
- Perform administrative and customer service support tasks as needed
- Deliver professional and high-quality customer service to ensure patient and caregiver satisfaction
- Verify insurance eligibility, billing, and prior authorizations
- Handle DME and DME insurance processes
- Support operations in Urgent Care, medical office, DME, or similar healthcare settings
- Review insurance benefits, coverage, deductibles, copays, and coinsurance
- Perform other duties related to the position as assigned
Requirements
What you’ll need- Proficient level of English (written and spoken)
- Strong interpersonal and communication skills with clients, vendors, and teammates
- Experience with insurance eligibility verification, insurance billing, and prior authorizations is highly preferred
- Familiarity with Durable Medical Equipment (DME) and DME insurance processes
- Experience working in Urgent Care, a medical office, DME, or a similar healthcare environment is preferred
- Strong understanding of insurance benefits, coverage, deductibles, copays, and coinsurance is preferred
- Familiarity with insurance portals, EMR/EHR systems, and billing or authorization platforms
- Strong attention to detail and ability to maintain accurate records
- Excellent organization and problem-solving skills
- Ability to manage multiple tasks and meet deadlines in a fast-paced environment
- Resourceful, accountable, with a strong sense of ownership
- Out-of-the-box thinker, highly adaptable, reliable, self-motivated, and confident
- Strong problem-solving skills with the ability to work independently
- Excellent organizational skills with the ability to manage daily operations
- Proficiency in Microsoft Office (Word, Excel, Outlook)
- Familiarity with standard business tools (email, spreadsheets, document management)
- Ability to quickly learn new systems, software, and workflows
- Ability to follow established processes accurately with minimal supervision
- Ability to work U.S. EST (New York) business hours and adapt to business needs
- Interested in long-term career opportunities
- Able to undergo a background check
- Reliable Windows 10+ computer, two monitors, and high-speed internet
- Reliable backup power source (e.g., power bank, UPS, inverter, or generator) for uninterrupted work during outages
- Professional home workstation capable of supporting uninterrupted remote work
Benefits
Comp & perks- 100% remote work
- Great work environment with potential for growth
- Full-time position with 40 hours weekly
- Long-term opportunity