Credence Global Solutions · 1 day ago
Insurance Verification Specialist
Mesa, AZ
Full-time
Onsite
Entry Level
1+ years expCredence Global Solutions is a diversified technology-driven financial transformation company based in Dallas, Texas. They are seeking an Insurance Verification Specialist responsible for verifying patient insurance coverage, ensuring accurate benefit information, and supporting efficient claims processing.
FinanceFinancial ServicesHealth CareMedia and EntertainmentTelecommunications
Hiring Manager
Tushar Karankaar
Responsibilities
Verify patient insurance coverage, benefits, and authorization requirements for outpatient, inpatient, and specialty services
Confirm deductible, co-pay, co-insurance, and out-of-pocket responsibilities with commercial, Medicare, and Medicaid payers
Identify coverage discrepancies and proactively resolve issues by contacting payers, patients, or provider offices
Review medical documentation and patient information to ensure completeness for insurance processing
Accurately document verification outcomes, benefit details, and authorization requirements within EMR and patient account systems
Maintain strict adherence to HIPAA, federal, and state regulations when handling sensitive patient information
Support audit readiness by ensuring complete, accurate documentation aligned with organizational standards
Contact patients to clarify insurance details, obtain required information, and explain financial responsibilities
Collaborate with providers, billing teams, and medical record departments to coordinate coverage and resolve missing information
Provide clear, empathetic communication to support patient understanding and satisfaction
Assist with pre-authorization submission, follow-up, and tracking of payer approvals
Work cross-functionally with medical records and billing teams to ensure clean claims and reduce denials
Monitor pending accounts and escalate issues when additional documentation or payer follow-up is required
Support process improvement by identifying trends in insurance rejections, eligibility issues, or payer delays
Qualification
Required
1–2 years of experience in insurance verification, patient access, medical records, or healthcare administration
Working knowledge of insurance plans, medical terminology, HIPAA requirements, and authorization workflows
Strong attention to detail, organization, and accuracy
Excellent communication skills with the ability to handle sensitive information professionally
Proficiency in Microsoft Office (Word, Excel), data entry, and documentation tools
Preferred
Experience with EMR systems (Epic, Cerner, NextGen, Athena, Citrix, etc.) preferred
Company
Credence Global Solutions
Credence Global Solutions provide financial services.
1001-5000 employees
Funding
Current Stage
Late StageCompany data provided by crunchbase