Remote Insurance Verification

Overview

This is a fully remote contract opportunity for an Insurance Verifier / Remote Healthcare Reimbursement Specialist in Houston, TX. The role is a full-time, contract-to-potential-hire position focused on helping patients access therapies by navigating insurance verification, reimbursement, and prior authorization processes.

The position is a strong fit for professionals with backgrounds in healthcare, pharmacy, insurance, reimbursement, or call center work who enjoy solving problems, supporting patients, and coordinating with providers and payers.

Key Responsibilities

• Check and confirm medical and pharmacy insurance benefits, reimbursement pathways, and available financial assistance programs.
• Handle prior authorizations and appeals, including tracking progress and following up to avoid treatment delays.
• Work with patients, providers, insurers, and internal teams to resolve coverage and billing issues efficiently.
• Review insurance details, spot inconsistencies, and enter findings into multiple systems.
• Investigate pharmacy and medical coverage through payer portals, internal tools, and direct outreach to carriers.
• Share timely updates with patients and providers through phone, fax, and electronic communication.
• Support quality efforts by flagging issues, participating in audits, and following established procedures.
• Maintain accurate patient and insurance records while protecting confidential information.
• Follow HIPAA requirements, pharmacy regulations, and company policies.
• Partner with cross-functional teams to improve workflows and strengthen the patient experience.

Required Qualifications

• High school diploma or GED is required; an associate or bachelor’s degree is preferred.
• 3 to 4 years of experience in healthcare reimbursement, insurance verification, or prior authorization work.
• 3 to 4 years of experience in a healthcare call center environment.
• Working knowledge of commercial and government insurance plans, medical and pharmacy benefits, reimbursement workflows, appeals, and specialty pharmacy operations.
• Strong troubleshooting, organization, and multitasking abilities.
• Clear verbal and written communication skills.
• High attention to detail with a strong focus on accuracy and quality.
• Comfort using Microsoft Office tools and learning new systems quickly.
• Ability to work independently while meeting productivity and quality expectations.
• A secure, private home workspace is required for remote work.

Preferred Background

• Insurance verification
• Prior authorization processing
• Pharmacy benefit investigation
• Medical billing and claims
• Specialty pharmacy operations
• Healthcare customer service
• Reimbursement support
• Financial assistance programs

Benefits and Perks

• Fully remote work setup.
• Chance to directly improve patient access to important therapies.
• Collaborative, mission-focused team environment.
• Training and professional development support.
• Exposure to healthcare reimbursement, insurance operations, and specialty pharmacy services.
• Potential for career growth within a dynamic healthcare organization.

Pay and Benefits

The compensation range for this role is $16.00 to $20.00 per hour.

If eligible, temporary-role benefits may include medical, dental, and vision coverage; critical illness, accident, and hospital insurance; a 401(k) retirement plan with pre-tax and Roth after-tax contributions; voluntary life insurance and AD&D for the employee and dependents; short- and long-term disability; an HSA; transportation benefits; an employee assistance program; and paid time off or leave such as PTO, vacation, or sick leave. Eligibility may depend on job classification and length of employment, and benefits may change based on plan terms and elections.

Work Location

This position is fully remote, with the job based out of Houston, TX.

Application Notes

The role is expected to close on Jul 16, 2026.

About the Employer

The hiring organization is a large business and technology services company with extensive experience supporting clients across North America, Europe, and Asia. The company emphasizes transformation, collaboration, and delivering outcomes through strategy, design, execution, and operations. It also states that it is an equal opportunity employer and considers applicants without regard to protected characteristics.

Additional Legal and Hiring Information

For positions located in San Francisco, applicants with arrest or conviction records will be considered in line with local fair chance requirements. In Massachusetts, lie detector tests cannot be required or used as a condition of employment. The company also notes that artificial intelligence tools may assist with sourcing, screening, and evaluation during hiring, though final hiring decisions are made by the recruiting team.