Insurance Operations Specialist

Insurance Operations Specialist

Remote | Full-time (40 hours/week)

About The Role

We’re looking for a detail-oriented, process-driven teammate to help us build and scale how our team performs insurance benefit verifications and prior authorizations. You’ll take complex insurance processes, research the nuances, and translate them into clear checklists and step-by-step instructions in our proprietary system—so our broader team can execute them correctly and consistently.

This role is ideal for someone who thrives on creating structure, loves solving puzzles, and wants to directly improve how patients access care.

Responsibilities

• Research and document insurance benefit verification and prior authorization processes across payers and providers.
• Build and configure checklists, workflows, and step-by-step guides in our internal system for team use.
• Work independently and take ownership, with the ability to flex from 25 hours/week up to 40 hours/week based on performance.
• Communicate effectively with cross-functional stakeholders (ops, engineering, clinical teams) to ensure accuracy and clarity.
• Adapt quickly to feedback and refine workflows as processes evolve.

Qualifications

• 1+ year of experience in healthcare operations, medical billing, or a related field; or equivalent training.
• Strong attention to detail and a knack for translating complex rules into clear instructions.
• Excellent written and verbal communication skills.
• Comfortable working both independently and collaboratively.
• Strong work ethic: organized, proactive, and able to juggle multiple tasks.
• Bonus: Prior exposure to insurance benefit checks, prior authorizations, or healthcare administration.
• Competitive hourly rate: $17.00 – $22.00/hour
• Flexible schedule, fully remote.
• Chance to directly impact patients’ ability to access timely care.

Benefits