Insurance Verification & Provider Credentialing Assistant

Overview:

We are hiring an Insurance Verification & Provider Credentialing Assistant for a multi-location specialty healthcare company in the Podiatry industry. This is a Full-Time remote role for a Texas, USA based client. The role is focused on daily insurance verification and monthly collections reporting across multiple providers. The ideal candidate is detail-oriented, analytical, tech-savvy with EMR experience, an excellent communicator, and able to meet strict deadlines independently.

Key Responsibilities:

• Perform daily insurance eligibility and verification for scheduled patients via payer portals and phone calls

• Handle provider credentialing

• Confirm and document copays, coinsurance, deductibles, plan limitations, and prior authorization requirements

• Accurately record verified benefits and notes in the EMR (NextGen) and shared trackers

• Prepare monthly collections reports by provider and by patient using data exported from the EMR and payment sources

• Distinguish patient vs payer payments; reconcile deposits and adjustments; flag discrepancies, missing claims, and denials

• Maintain organized spreadsheets in Google Sheets, ensuring formulas, lookups, and totals are accurate

• Collaborate with front desk and billing teams to resolve benefit questions, coding clarifications, and follow-ups

• Track and update claim statuses and support A/R follow-up workflows as directed

• Protect PHI and adhere to HIPAA and practice policies at all times

• Meet daily/weekly verification quotas and month-end collections reporting deadlines across multiple locations
  

Required Qualifications:

• 2+ years of US medical insurance verification in an outpatient clinic or similar setting

• 2+ years of provider credentialing experience

• Strong understanding of copays, coinsurance, deductibles, out-of-pocket maximums, prior authorizations, and coverage limitations

• 2+ years of experience with EMR/EHR systems; ability to learn NextGen quickly

• Proficiency with Google Sheets or Excel (filters, lookups, basic formulas) and accurate data entry

• Excellent phone etiquette and written English communication skills

• High attention to detail, confidentiality, and time management in a remote environment

Preferred Qualifications:

• 2+ years of experience with NextGen EHR

• 2+ years of experience with insurance verifications, collections reporting, payment reconciliation, and basic A/R workflows

• Background in podiatry, orthopedics, or other musculoskeletal/surgical specialties

Required Skills & Tools:

• NextGen or similar EMR/EHR

• Google Sheets/Excel and Google Workspace

• Payer portals and eligibility verification tools (carrier portals, clearinghouses)

Schedule & Pay:

• Full-Time position; 9:00 AM to 5:00 PM Central Time, Monday to Friday (5:00 PM to 1:00 AM SAST)

• R16,000–R20,000 ZAR (South Africa) / ₱42,000–₱53,000 PHP per/month (Philippines)

• Fully remote role for a Houston Texas, USA based client

• Includes role-specific training, supportive onboarding, and long-term growth potential
  

System Requirements:

• Internet speed of at least 20 Mbps upload and download

• Computer with a 2.4 GHz processor or higher

• 8 GB of RAM or higher

• Windows 10 or newer, or Mac OS X 10.10 or newer

• HD 720p webcam

• Headset with microphone

Benefits:

• Competitive pay rates

• Consistent hours and predictable workload

• Fully remote work with long-term potential

• Direct collaboration with practice leadership and clinical teams, making a real impact

• Supportive and inclusive work environment

• Opportunity to grow alongside a scaling multi-location healthcare practice