nirvanaDenver, CO
Insurance Specialist (Healthcare Verification and Eligibility), Part-Time Contractor
$20.00 - $25.00 per hour
Apply →Insurance Specialist (Healthcare Verification and Eligibility), Part-Time Contractor
Insurance Specialist (Healthcare Verification and Eligibility), Part-Time Contractor
nirvanaDenver, CO
yesterday
$20.00 - $25.00 per hour
Insurance Claims and Policy Processing ClerksEligibility Interviewers, Government ProgramsBilling and Posting Clerks
All Other Insurance Related ActivitiesPharmacy Benefit Management and Other Third Party Administration of Insurance and Pension FundsDirect Health and Medical Insurance Carriers
Apply for this role →Healthcare Eligibility Verification Specialist This is a backfill hire on our billing team, joining an existing team of 6 and reporting directly to the hiring manager. You will focus on healthcare eligibility verification and claims denial resolution, working across payer portals such as Availity, OneHealthport, and Evernorth to keep coverage information accurate and claims moving.
What you'll do:
- Verify patient insurance eligibility and benefits accurately across payer portals, including Availity, OneHealthport, and Evernorth
- Process and resolve claims denials, working directly with payers to identify root cause and next steps
- Communicate with internal teams and payer representatives to gather the information needed to resolve coverage and claims issues
- Maintain accurate, organized records of all eligibility and billing related activity
- Follow up on outstanding claims and denials within deadlines, with high accuracy
- Stay current on payer policies, billing regulations, and best practices related to eligibility and claims
What we're looking for:
- 3+ years of experience in healthcare billing, eligibility verification, or claims and denials management
- Hands on experience with payer portals such as Availity, OneHealthport, or Evernorth
- Strong attention to detail and accuracy under deadline
- Excellent written and verbal communication skills
- Ability to work independently in a remote, distributed team, available during Eastern Time working hours
- Experience working with payers across all 50 states
Compensation: $20 to $25 per hour, based on experience.
Also on the board Same function, level within a rung
Level
Senior
Salary
$20.00 - $25.00 per hour
Location
Denver, CO
Occupation
Insurance Claims and Policy Processing Clerks
Industry
All Other Insurance Related Activities
Posted
yesterday