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Eligibility Referral Specialist

Human Hire

Shirley, NY

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JOB DETAILS
SALARY
$26
SKILLS
Access Authorization, Calendar Management, Communication Skills, Compensation and Benefits, Current Procedural Terminology (CPT), Demographics, Dental Insurance, Electronic Medical Records, Financial Management, HIPAA (Health Insurance Portability and Accountability Act), Health Insurance, Healthcare, High School Diploma, ICD-10, Insurance, Life Insurance, Maintain Compliance, Medical Billing, Medical Imaging, Medical Records, Medical Terminology, Microsoft Office, Multitasking, Oncology, Organizational Skills, Patient Care, Patient Care Authorizations, Patient Education, Physical Therapy, Practice Management Software, Radiation Therapy, Revenue Growth, Time Management, Vision Plan
LOCATION
Shirley, NY
POSTED
23 days ago
Eligibility & Insurance Verification Specialist
HumanHire is partnered with a leading oncology group to find an experienced Eligibility & Insurance Verification Specialist to join their growing revenue cycle team in Shirley, NY. This is a great opportunity for someone with insurance verification, referrals, and authorization experience who enjoys working in a fast-paced healthcare environment while helping ensure patients receive timely care.
Schedule
Monday-Friday
Five 8.5-hour shifts per week
Compensation & Benefits
  • Starting pay: $26/hour
  • Health insurance starting on Day 1
  • Dental & Vision Insurance
  • Life Insurance
  • Short-Term & Long-Term Disability
  • 401(k)
  • Paid Time Off
  • 8 Paid Holidays (including 2 floating holidays)
Responsibilities
  • Verify patient insurance eligibility, benefits, deductibles, co-pays, coinsurance, and coverage for primary, secondary, and tertiary plans.
  • Obtain referrals and prior authorizations for office visits, diagnostic testing, imaging, infusion services, radiation therapy, physical therapy, and other physician-ordered services.
  • Maintain accurate insurance and demographic information within electronic medical record and practice management systems.
  • Review daily work queues and resolve insurance, referral, and authorization issues before scheduled appointments.
  • Monitor pending referrals and authorizations, following up with insurance carriers and third-party vendors to ensure approvals are obtained promptly.
  • Assist with same-day and add-on treatment authorizations when needed.
  • Respond to inquiries from patients, providers, office staff, and insurance companies regarding referrals, coverage, claims, and patient financial responsibility.
  • Explain insurance benefits and patient balances while assisting with payment arrangements when appropriate.
  • Coordinate with financial counseling for patients who may qualify for financial assistance programs.
  • Review physical therapy schedules in advance to confirm benefit eligibility.
  • Document all patient and insurance communications accurately and maintain HIPAA compliance at all times.
  • Collaborate closely with clinical, front office, and revenue cycle teams to minimize delays in patient care.
Qualifications
  • High school diploma or GED required.
  • Previous experience in healthcare insurance verification, referrals, authorizations, patient access, or medical billing.
  • Working knowledge of commercial insurance plans, referrals, prior authorizations, and coordination of benefits.
  • Familiarity with ICD-10, CPT coding, and medical terminology.
  • Experience using electronic medical records (EMR), practice management software, and Microsoft Office.
  • Strong communication, organizational, and multitasking skills.
  • Ability to remain professional and compassionate while assisting patients during challenging situations.

About the Company

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Human Hire

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