Coverage verification jobs

Support Scripps Mercy Hospital San Diego as a Patient Service Specialist – Obstetrics in the Patient Financial Services department, managing patient registration, billing, and financial assistance processes.

Locations (2)

Hillcrest, California, United States
San Diego, California, United States

Responsibilities

Interact with patients, payers and providers to gather information for accurate registration
Assign Medical Record Numbers and handle referrals/authorizations
Collect point of service payments and manage document collection
Manage patient check‑in and check‑out processes, including identification verification and demographic updates
Ensure appropriate forms are provided, signed and witnessed

Skills

patient interaction patient registration

Claims Facilitator

Erie Insurance · Posted Nov 11, 2026

Open

Richmond, Virginia, United States
$40K–$64K per year
1+ years

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Under minimal supervision, settles claims within limits of authority.

Compensation

$40,121.00 - $64,090.00 *

Responsibilities

Processes first party automobile, third party clear liability automobile and low severity property claims within limits of authority
Contacts Policyholders and/or claimants, verifies coverage, sets reserves, sets up and/or issues payment using ERIE’s approved payment methods, and settles claims
Establishes contact with all parties involved in the claim in accordance with ERIE’s expectations
Handles inquiries from Policyholders, Agents, insurance carriers, claimants and others
Enters loss information into claims system

Requirements

High school diploma or GED
Bachelor’s or Associate’s degree
Nice to have: general insurance education

Skills

claims handling customer service clerical experience policyholder contact coverage verification

Prior Authorization & Benefits Verification Specialist

Infinx · Posted Nov 11, 2026

Open

Remote
Remote
2+ years

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This remote Prior Authorization Specialist supports the Patient Access Onshore department in various functions, insurance verification and coordinating prior authorization requests for medical services.

Responsibilities

Contacting payers for eligibility and benefit information to include authorization requirements
Obtain prior authorizations and pre-certifications
Submit complete and accurate authorization requests
Follow up and resolve pending authorization requests
Maintain documentation of authorization activity

Requirements

High School Diploma or equivalent
Nice to have: experience with radiology/imaging and laboratory services
Nice to have: experience resolving authorization denials and supporting appeals

Skills

prior authorization insurance eligibility benefits verification coverage verification deductibles copays

Authorization Representative

UW Health · Posted Nov 11, 2026

Open

Middleton, Wisconsin, United States
Hybrid
Full-time · Associate
1+ years

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Support timely patient access to care by obtaining and managing required prior authorizations for healthcare services.

Responsibilities

Obtain and manage required prior authorizations for healthcare services
Prevent avoidable denials by securing authorizations and verifying coverage prior to services being rendered
Build collaborative relationships with patients, providers, and insurance payers through effective communication and exceptional customer service
Proactively identify and resolve authorization, coverage, and payer-related issues
Contribute to continuous improvement initiatives by embracing automation, process enhancements, and operational efficiencies

Requirements

High school diploma or equivalent
Associate’s Degree in Business, Finance, Health Information Management, or a related field
Nice to have: Healthcare Revenue Cycle experience

Skills

Prior authorization management Coverage verification CPT coding ICD coding Medicare regulations

Front Office Specialist I - TCP Float Pool

Texas Children's Hospital · Posted Nov 10, 2026

Open

Houston, Texas, United States
1+ years

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Coordinate scheduling, patient check‑in/out, phone handling, billing, referral, and EHR tasks for a pediatric care network.

Responsibilities

Coordinate and perform scheduling of patients
Receive and greet visitors
Answer and handle incoming calls
Coordinate referral process
Enter accurate billing information

Requirements

High School Diploma or GED

Skills

Scheduling Patient check‑in/out Phone handling Electronic billing Electronic health record Referral coordination Coverage verification Electronic billing system

See full job description

Front Office Specialist I- TCP Barker Cypress

Texas Children's Hospital · Posted Nov 10, 2026

Open

Cypress, Texas, United States
On-site
Entry
1+ years

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Coordinate scheduling, billing, and patient front‑office operations in a pediatric healthcare setting.

Responsibilities

Coordinate and perform scheduling of patients
Receive and greet visitors
Answer and handle incoming calls
Coordinate referral process
Enter accurate billing information into the system

Requirements

High School Diploma or GED

Skills

Scheduling Electronic billing Electronic health record Phone handling Referral coordination Coverage verification Electronic billing system

See full job description

Customer Service Admin

Manufacturing Inc · Posted Nov 10, 2026

Open

Southborough, Massachusetts, United States
Full-time · Entry
$24–$26 per hour

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Coordinate real-time fleet operations, handle high-volume communications, and manage vital administrative records for a towing and recovery fleet.

Compensation

Competitive Pay: $24-$26/hr DOE to start! If you are transitioning from another Customer Service Admin role, we offer great starting rates for our 1st shift hours.

Responsibilities

Act as the primary operational Customer Service Admin, fielding inbound inquiries from motorists, commercial accounts, law enforcement, and municipal, state, and federal officials
Manage high-volume inbound and outbound telephone calls in an active call center dispatch environment
Execute rapid, precise multi-line dispatching for our active towing and recovery fleet across the region
Coordinate time-critical route tracking, incident coordination, and vehicle movement within our transport and logistics pipeline
Process impound releases, vehicle status updates, and claims documentation while interfacing with law enforcement, vehicle owners, and commercial insurance carriers

Requirements

Nice to have: Bilingual

Skills

Customer Service Admin Microsoft Excel Microsoft Word

Referral & Auth. Specialist

UnityPoint Health - Meriter Hospital · Posted Nov 6, 2026

Open

Remote, United States
Remote
Full-time · Entry
1+ years

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Ensure Meriter’s Financial Clearance process is fully complete by verifying patient and insurance information, documenting in Epic, and securing authorizations for scheduled services and direct admissions.

Responsibilities

Verify patient and insurance information
Document coverage verification, eligibility verification, benefit collection, and authorization procurement in Epic
Ensure approved authorizations are in place for scheduled services and direct admissions
Work directly with referring providers to obtain shared authorizations
Maintain relationships with hospital departments

Requirements

High School Diploma or equivalent
Nice to have: EPIC experience
Nice to have: ADT
Nice to have: Resolute
Nice to have: Cadence Referrals

Skills

coverage verification eligibility verification benefit collection authorization procurement Epic medical terminology