Pre Service Center Verification Specialist in New York at Jobgether

This position is listed on behalf of a partner company, who manages all applications and next steps. Our partner is looking for a Pre Service Center Verification Specialist based in the United States.

This fully remote role supports the patient access and revenue cycle functions that help patients receive timely, financially cleared care.
You will manage pre-registration, insurance verification, referrals, prior authorizations, and other financial clearance activities before scheduled services.
The position combines detailed administrative work with frequent communication across patients, providers, insurers, and internal healthcare teams.
You will play an important role in resolving coverage and authorization issues while helping protect accurate reimbursement.
Success requires strong knowledge of insurance processes, excellent customer service, careful documentation, and sound judgment.
You’ll work within established quality and productivity standards while handling sensitive health and financial information.
The role offers an opportunity to contribute directly to an efficient, patient-centered healthcare experience from a remote environment.

• Monitor registration, referral, and prior authorization work queues and complete financial clearance activities in accordance with established procedures and productivity standards.
• Verify and update patient demographic, insurance, eligibility, subscriber, employer, primary care provider, and appointment information across applicable systems.
• Obtain and document referrals, prior authorizations, precertification numbers, and other payer requirements before scheduled services, or complete retroactive processes when necessary.
• Navigate payer and organizational policies to determine the appropriate requirements for scheduled services and help healthcare staff understand financial clearance processes.
• Use online payer databases, electronic correspondence, fax, telephone, and other available resources to efficiently obtain insurance verification and authorization information.
• Collaborate with patients, physicians, primary and specialty care practices, insurance carriers, case management, utilization review, patient financial counseling, and other stakeholders to resolve clearance issues.
• Contact patients, families, or referring providers before appointments to collect missing demographic, financial, insurance, and other information required for reimbursement and compliance.
• Create accurate registration records for new patients and ensure all required information is captured in the appropriate systems.
• Process applicable copayments, coinsurance, deductibles, and outstanding patient balances during pre-registration.
• Refer self-pay patients, patients with unresolved coverage, or individuals requiring financial counseling to the appropriate financial counseling resources.
• Identify accounts that cannot be financially cleared or have been denied and escalate them according to established departmental guidelines.
• Maintain complete and accurate documentation of referrals, authorizations, insurance information, and other financial clearance activities within relevant practice management and electronic health record systems.
• Maintain strict confidentiality of patient medical and financial information and comply with applicable healthcare privacy, collection, and regulatory requirements.
• Respond to telephone calls and customer inquiries promptly, following applicable scripts and service standards while resolving issues or directing inquiries to the appropriate team.
• Participate in quality audits, educational programs, process improvement initiatives, and cross-training activities.
• Build effective relationships across revenue cycle teams and contribute to continuous improvement of workflows and patient access processes.
• Recognize situations requiring escalation and communicate issues appropriately to supervisors or other responsible stakeholders.

• High school diploma or GED required; an associate degree or higher is preferred.
• 1–3 years of hospital registration and/or insurance experience is desirable, with at least one year of customer service experience.
• General knowledge of healthcare terminology and CPT/ICD-10 coding.
• Strong understanding of insurance processes, eligibility, referrals, prior authorizations, and financial clearance is preferred.
• Experience with Epic or similar electronic health record and practice management systems is highly desirable.
• Familiarity with Epic work queues and related systems such as ADT, Prelude, and Grand Central is a plus.
• Strong customer service skills, including sound judgment, independent thinking, problem-solving, and the ability to handle challenging situations professionally.
• Excellent verbal and written communication skills, with the ability to collaborate effectively with patients, physicians, staff, insurers, and other stakeholders.
• Strong attention to detail and the ability to manage multiple priorities in a complex, fast-paced environment.
• Ability to work comfortably with ambiguity, evaluate varying points of view, and make appropriate decisions independently.
• Ability to maintain strict confidentiality when handling personal, medical, and financial information.
• Basic computer proficiency, including Microsoft Word, Excel, Outlook, Zoom, and other relevant digital systems.
• Ability to interpret computerized data and accurately enter and maintain information across multiple systems.
• Strong understanding of revenue cycle processes and the ability to consistently meet established quality and productivity expectations.
• Ability to work independently in a remote environment while maintaining effective communication and collaboration with colleagues.
• Willingness to learn additional departmental functions and provide backup support when required.

• Fully remote work environment.
• Full-time employment opportunity.
• Estimated compensation of $24.05–$29.31 per hour, depending on qualifications, education, experience, and relevant credentials.
• Medical, dental, vision, and pharmacy benefits.
• 403(b) retirement savings plan with employer matching.
• Flexible Spending Account options.
• Paid time off and earned-time cash-out opportunities.
• Potential contract increases and broader total compensation opportunities.
• Career advancement and professional development opportunities.
• Resources designed to support employee and family wellbeing.
• Opportunities to participate in educational and training programs.