Insurance Verification Specialist

Job Description

Location: Columbus, OH (On-site)

We are seeking an Insurance Verification Specialist to verify insurance eligibility and benefits across the front end revenue cycle for an integrated delivery network. This position is a full-time, direct hire opportunity based onsite in Columbus, OH. The role works across multiple payer portals and EHR systems, confirms authorizations, and calculates patient financial responsibility so every account starts with accurate, complete information.

This role is well aligned for a detail driven revenue cycle professional who works independently in a structured, productivity focused environment and takes pride in getting it right the first time. The ideal candidate combines precision with a sense of urgency, understands that thorough upfront verification leads to clean claims and a positive patient experience, and is looking for a clear path into senior access or authorization roles.

Responsibilities:

• Verify eligibility and benefits across commercial, Medicare, Medicaid, and managed care plans prior to service
• Document benefit details, including copays, deductibles, coinsurance, out-of-pocket limits, and procedure restrictions
• Confirm prior authorization status, document authorization numbers and dates, and escalate authorization issues as needed
• Navigate major payer portals, including Availity, UnitedHealthcare, Aetna, Cigna, Humana, and state Medicaid
• Resolve coordination of benefits by confirming primary and secondary payer order
• Calculate and post patient financial responsibility estimates in the EHR
• Document verification activity in the EHR according to organizational standards
• Manage the daily verification queue, prioritizing same day and next day appointments
• Contact patients and staff regarding coverage questions and document outreach and resolutions

Qualifications:

• High school diploma or equivalent required
• Minimum of 1 year of direct insurance verification experience in a hospital, physician group, or revenue cycle services setting, across multiple payers
• Ability to independently navigate three or more major payer portals, such as Availity, UnitedHealthcare, Aetna, BCBS, Cigna, Humana, Medicare, or Medicaid
• Experience with at least one major EHR or practice management system, such as Epic, Cerner, Athena, Meditech, AdvancedMD, or NextGen
• Strong understanding of commercial and government payer benefits, including deductibles, out-of-pocket maximums, coinsurance, referrals, authorizations, and coordination of benefits
• Strong attention to detail in capturing benefit information accurately and identifying discrepancies
• Ability to manage a high volume verification queue independently while meeting productivity and accuracy targets

Schedule:

• Full-time position
• Onsite in Columbus, OH
• Monday through Friday, standard business hours (Eastern Time)
• 40 hours per week

Salary Range: The salary range for this position is approximately $37,000 – $52,000 annually ($17.79 – $25.00 per hour), based on experience and qualifications.

Interview Process: Selected candidates will participate in a multi-step interview process, including an initial screening with TalentLNX followed by interviews with department leadership.

Equal Opportunity Employer: TalentLNX is committed to equal employment opportunity and a diverse, inclusive workforce. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, disability, or veteran status.