Benefits Verification Specialist – Remote (260531)

Location: Remote – United States (excluding California)

Pay Rate: $21.00–$22.50/hour

Employment Type: Contract – Approximately 20 weeks

Schedule: Monday–Friday, 40 hours/week; 8 AM–5 PM or 9 AM–6 PM (Mountain or Pacific Time)

Start Date: December 7, 2026

Equipment: ProvidedABOUT THE ROLEMedix is partnering with a growing healthcare organization seeking experienced Benefits Verification Specialists to support its expanding insurance operations team. This position focuses on verifying commercial health insurance benefits, communicating directly with insurance carriers, and resolving coverage discrepancies. We're looking for candidates who understand how insurance plans work and can independently navigate payer conversations, investigate coverage questions, and accurately document their findings.

RESPONSIBILITIES: Verify patient insurance eligibility, coverage, deductibles, copays, coinsurance, out-of-pocket maximums, and benefit limitations. Contact commercial insurance carriers by phone and through payer portals to confirm benefits and clarify coverage details. Investigate discrepancies, plan-specific requirements, exclusions, and other insurance-related questions. Review patient and insurance information for accuracy and document verification findings in internal systems. Coordinate with internal team members to resolve missing information, coverage concerns, and authorization-related issues. Maintain accurate records while meeting established turnaround times. REQUIRED QUALIFICATIONS1–2+ years of experience in healthcare benefits verification, insurance verification, medical billing, or a related revenue cycle function. Strong working knowledge of commercial health insurance plans, terminology, and payer processes. Hands-on experience contacting insurance companies directly to verify coverage and resolve discrepancies. Ability to independently research insurance questions and clearly communicate findings. Strong attention to detail, data entry accuracy, organizational skills, and computer proficiency. Excellent customer service, written and verbal communication, and problem-solving skills. Reliable internet connection and a quiet, distraction-free remote workspace. HIGHLY PREFERRED EXPERIENCEFertility, IVF, reproductive medicine, or women's healthcare. Specialty pharmacy benefits verification or prior authorization. Previous experience working remotely. Bilingual English/Spanish communication skills. COMPENSATION & POSITION DETAILS$21.00–$22.50 per hour. Fully remote contract opportunity with a growing healthcare organization. Approximately 801 hours of anticipated work. Client-provided computer equipment. Training begins December 7, 2026.APPLICATION INFORMATIONQualified candidates with direct commercial insurance benefits verification experience are encouraged to apply. Medix will contact selected applicants to discuss the opportunity and next steps.