Insurance Verification Representative

The Insurance Verification Representative (Registration Representative) supports the patient intake and billing processes by ensuring accurate and complete registration, referral management, insurance verification, and prior authorization tasks. This role is critical in creating a smooth patient experience and supporting clean billing submissions for vaccination and diagnostic services. You will work in a team environment, updating patient data, verifying insurance, and assisting with medical claim follow-ups.

 

• Complete accurate registration and insurance verification for new and returning patients.
• Ensure all patient demographic and payer data is correct and up-to-date.
• Assist with referral management and prior authorizations as needed.
• Support medical billing efforts by screening and updating payer data to ensure clean claims.
• Follow up on unpaid or denied claims and assist in preparing insurance appeals.
• Maintain detailed documentation in systems to support billing and compliance workflows.
• Assist in resolving billing issues related to vaccination services.
• Monitor and clear assigned work queues, reports, and pending authorizations.
• Comply with HIPAA and confidentiality standards at all times.

• High school diploma or equivalent.
• Prior customer service experience, preferably in a healthcare setting.
• Working knowledge of registration and insurance verification.
• Clear, professional written and verbal communication skills.
• Proficiency in Microsoft Office Suite and basic data entry/typing skills.
• Strong attention to detail, organization, and time management.
• Ability to work independently and in a team.
• Ability to maintain patient confidentiality and professionalism in all interactions.

 

• 1 year of experience in healthcare office setting, performing registration, insurance verification, or billing.
• Familiarity with medical terminology, insurance processes, and payer systems (e.g., Medicaid, Medicare).
• Experience working with CPT, ICD-10, HCPCS codes.
• Prior experience using Epic or other EHR/billing systems.
• Certificate in Medical Billing and Coding (CCA) or related credential is highly desirable.
• Familiarity with vaccination billing and reimbursement guidelines.

Novir is a fast-growing startup with a work hard, play hard attitude. We look for smart, motivated individuals who are excited to build something incredible from the ground up!