Insurance Specialist

Insurance Verification Specialist

Location: Yorkville, Tennessee (not far from Dyer, Jackson, Rutherford, and Milan and Medina TN)

Employment Type: Full-Time, Hourly, Non-Exempt

Join a Team That Helps Patients Access the Care They Need

At Wound Care Resources, we believe every patient deserves timely access to quality healthcare. Behind every successful patient outcome is a team of dedicated professionals working to ensure coverage, eligibility, and authorizations are handled accurately and efficiently.

We're looking for an Insurance Verification Specialist who is detail-oriented, customer-focused, and passionate about helping patients navigate the insurance process. If you enjoy problem-solving, collaborating with healthcare professionals, and making a meaningful impact behind the scenes, we'd love to hear from you

Compensation & Benefits

Hourly Rate: $18.00

Eligible employees may also participate in the company's benefit programs, which includes medical, dental, vision, retirement savings, paid time off, and other benefits.

What You'll Do

As an Insurance Verification Specialist, you'll play a critical role in supporting patient care by ensuring insurance benefits, eligibility, and authorization requirements are verified accurately and communicated effectively.

In This Role, You Will:

• Verify patient insurance coverage, benefits, eligibility, deductibles, copays, and coinsurance.
• Investigate authorization and payer requirements to support timely patient care.
• Communicate professionally with patients, physician offices, clinics, referral sources, and insurance carriers.
• Obtain and document accurate insurance information within company systems.
• Follow up with payers regarding eligibility, authorizations, claim status, and coverage determinations.
• Maintain detailed records and documentation in accordance with company policies and compliance requirements.
• Track and update departmental reports, spreadsheets, and workflow logs.
• Identify issues, discrepancies, or payer concerns and escalate appropriately.
• Support team goals and contribute to a positive, collaborative work environment.
• Deliver exceptional customer service through clear verbal and written communication.

What Makes You Successful

We're looking for someone who brings a combination of technical expertise, organization, and a strong commitment to service.

You Thrive When You:

• Juggle multiple priorities while maintaining a high level of accuracy.
• Build strong relationships with patients and healthcare partners.
• Solve problems and navigate complex insurance situations.
• Take ownership of your work and consistently meet deadlines.
• Work independently while also collaborating effectively with your team.
• Stay organized and focused in a fast-paced environment.

Qualifications

Required

• High School Diploma or GED.
• Experience working in an office or healthcare administrative environment.
• Strong attention to detail and organizational skills.
• Excellent verbal and written communication skills.
• Proficiency with Microsoft Office applications.
• Ability to manage multiple priorities and meet established deadlines.

Preferred

• Associate degree.
• 3 to 5 years of relevant experience.
• Experience with insurance verification, benefits investigation, prior authorizations, or healthcare revenue cycle functions.
• Knowledge of Durable Medical Equipment (DME) insurance requirements and payer processes.
• Experience working with electronic medical records, insurance portals, and healthcare software systems.

Why Join Wound Care Resources?

At Wound Care Resources, you'll be part of a team dedicated to helping patients receive the treatments and services they need. We value collaboration, accountability, continuous learning, and exceptional customer service.

We offer:

• Competitive compensation
• Opportunities for professional growth and development
• Collaborative and supportive team environment
• Meaningful work that impacts patient lives every day
• Stable and growing healthcare organization

Work Environment

This position is primarily office-based, with occasional remote work opportunities available based on business needs.

Equal Opportunity Employer

Wound Care Resources (a Bravida Medical Company) is proud to be an Equal Opportunity Employer. We are committed to creating an inclusive workplace where all employees are respected, valued, and empowered to succeed.

Ready to Make an Impact?

If you're passionate about helping patients, enjoy working with insurance and healthcare systems, and want to be part of a team that makes a difference every day, we'd love to meet you.

Apply today and join Wound Care Resources (A Bravida Medical company) as our next Insurance Verification Specialist.