Insurance Verification Specialist – Remote Position Available In Wake, North Carolina

Insurance Verification Specialist –

Remote Sequioa Care Raleigh, NC Job Details Full-time Estimated:

$37K – $46.6K a year 21 hours ago Benefits Disability insurance Health insurance Dental insurance Flexible spending account Paid time off Vision insurance 401(k) matching Opportunities for advancement Life insurance Referral program Qualifications Insurance verification Mid-level Communication skills Full Job Description Sequoia Care is at the forefront of innovative patient care in long-term care and rehabilitation settings as well as home health and outpatient/assisted living facilities. We revolutionize therapeutic care through our exceptional Physical, Occupational, and Speech Therapy services, focusing on quality outcomes that prioritize each individual’s unique needs. We are seeking a detail-oriented and highly organized Insurance Verification Specialist (IVS) to join our team. This individual plays a critical role in ensuring timely and accurate verification of therapy benefits, including obtaining prior authorizations and communicating benefit details to clinical and administrative staff. The ideal candidate is experienced with therapy-related insurance processes and thrives in a fast-paced, collaborative environment. Why Join Sequoia Care? At Sequoia Care, we believe that compassionate care starts with a compassionate workplace. Our collaborative, supportive team culture is focused on creating meaningful connections—with our patients, our colleagues, and the community we serve. You’ll have the opportunity to make a real impact while growing both personally and professionally. Key Responsibilities Insurance Verification Receive insurance verification requests from referral coordinators, including face sheets and insurance cards. Use WayStar to initiate the verification process and identify the correct payer(s). Determine insurance hierarchy (primary/secondary), coverage details, deductible amounts, and out-of-pocket costs. Confirm if prior authorization is required. Communication & Coordination Contact insurance providers to verify therapy benefits, visit limits, and usage. Determine in-network status with insurance carriers via phone or online resources. Notify appropriate team members if prior authorization is needed and ensure therapy orders are on file. Documentation & Authorization Complete Explanation of Benefits (EOB) forms in Updox. Initiate and submit prior authorization requests through insurance portals or via phone. Collaborate with clinical and administrative staff to obtain required evaluations and consent forms. Enter insurance parameters into the EMR system (NetHealth). Recertifications Manage ongoing authorization needs for continued therapy services. Coordinate with the clinical team to obtain updated documentation. Submit recertification requests and communicate approvals to the team. Required Skills and Qualifications 2+ years of experience in insurance verification, preferably for therapy services. Familiarity with WayStar, NetHealth, and Updox systems. Strong knowledge of therapy benefit structures, prior authorization processes, and payer communication. Exceptional organizational skills with keen attention to detail. Effective verbal and written communication skills. Ability to multitask, prioritize, and manage time efficiently in a fast-paced setting. Comfortable working both independently and collaboratively. What We Offer (Full-Time):

Competitive Pay Comprehensive Benefits :

90/10 Blue Cross Blue Shield Medical Insurance Dental & Vision Insurance Life Insurance Short-term & Long-term Disability 401(k) with company match — we invest in your future! Flexible Spending Account (FSA) Generous Paid Time Off (PTO)

Career Growth :

Free courses to earn CEUs Opportunities for growth and advancement Ongoing training and mentorship

Employee Referral Program :

Help us grow by referring talented professionals Commitment to Diversity & Inclusion We are an Equal Opportunity Employer committed to building a diverse and inclusive team. All qualified applicants will receive consideration for employment regardless of race, gender, disability, veteran status, or other protected categories. Ready to Make a Difference? Join our compassionate and driven team at Sequoia Care. Apply today and be part of a forward-thinking organization that values quality care and teamwork! Sequoia Care utilizes E-Verify to confirm employment eligibility for all new hires. Hear From Our Team “Working at Sequoia Care has allowed me to grow in ways I never imagined. The supportive team culture and opportunities for advancement make it an amazing place to work!” — Current Sequoia Care Team Member Equal Opportunity Employer This employer is required to notify all applicants of their rights pursuant to federal employment laws. For further information, please review the Know Your Rights notice from the Department of Labor.