eBlu Solutions · 4 weeks ago
Insurance Verification Specialist
Louisville, KY
Full-time
Hybrid
Entry Level
$19/hr - $20/hr
1+ years expeBlu Solutions was founded in 2012 to help specialty medical practices manage the complex workflow associated with high-cost infusion and injection treatments. The Insurance Verification Specialist is responsible for verifying patient insurance coverage and entering benefit information into the system while ensuring accuracy and confidentiality. This role requires extensive communication with insurance payers and adherence to departmental guidelines.
Health CareHospital
Responsibilities
Makes outbound calls to Insurance Payers and/or Specialty Pharmacies to obtain patient benefits
Understands and completes Prior Authorization calls within the In Process queue
Completes call sheets completely and accurately
Understands and adheres to the eBlu Guarantee of a turnaround time of 8 hours for Sponsored Drugs
Process documents based on department guidelines per standards and performance indicators
Maintain the highest level of patient confidentiality
Recognizes group discrepancies
Utilizes all resources and tools i.e., Payer Notes, Google, Caller Guide, etc
Provide the highest level of customer service when representing eBlu
Actively listens to calls in Ring Central to identify training opportunities or to gather important information from the call
Accurately interprets notes on the call sheet provided by the senior or Supervisor prior to outreach
Provides prompt communication to Supervisor for updated Payer information
Understanding of the Availity chat to Save and upload to Microsoft Teams Channels as needed
Ability to investigate call sheets in Review Completed status
Active participation in 1:1s with Supervisor
Provides 24 hours' notice for any personal time off
Review updates and changes communicated in Microsoft Teams chats and respond/react to the message
Can manage day-to-day responsibilities independently with the support of the Supervisor as needed
Other duties and responsibilities as assigned by the supervisor based on the specific client contract
Qualification
Required
High School Diploma or GED required
1-3 years' experience in a health plan, facility, healthcare provider office, or pharmaceutical industry preferred
Working knowledge of reimbursement (i.e. benefit investigation, prior authorization, pre-certification, letters of medical necessity) preferred
Knowledge of Medical Terminology preferred
Working knowledge of drug reimbursement issues preferred
Understanding of Health Plan Medical Policies and Prior Authorization Criteria preferred
Knowledge of HCPCS, CPT, and ICD-10 coding preferred
Proficient computer skills (position requires strong data entry experience, and must be comfortable with cloud-based web applications)
Must have excellent multitasking skills to allow for success in the role
Exhibits critical thinking and investigative behaviors
Understanding of Buy and Bill
Must be very detail-oriented and organized to maintain accurate patient insurance records
Strong communication and interpersonal skills
Ability to work independently as well as collaboratively in a team environment
Proactive and able to take initiative in driving projects forward
Ability to resolve problems independently
Ability to follow instructions
Ability to work at a desk in the office for long periods of time
The noise level in the work environment is moderate
Specific vision abilities required by this job include close vision and color vision
Ability to maintain focus under high levels of pressure/multiple priorities
Benefits
Competitive pay and performance-based incentives
Comprehensive health, dental, and vision insurance
Retirement savings plan with company matching.
Flexible schedules with both remote and hybrid work options.
Professional development and growth opportunities
Generous paid time off and holiday schedule.
Company
eBlu Solutions
eBlu provides real-time Benefit Verifications, allowing your office to reduce the turnaround from initial visit, to infusion.
51-200 employees
Funding
Current Stage
Growth StageTotal Funding
$15.4MKey Investors
OCA VenturesXLerateHealth
2025-07-17Acquired
2024-01-26Series Unknown· $4M
2021-04-07Series A· $11.4M
Leadership Team
Mark Murphy
Chief Executive Officer
Recent News
2026-01-07
Fierce Healthcare
2025-08-06
2025-07-19
Company data provided by crunchbase