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Outpatient Insurance & Eligibility Specialist

Job in San Francisco, San Francisco County, California, 94199, USA
Listing for: Green Key Resources
Full Time position
Listed on 2026-10-09
Job specializations:
  • Healthcare
    Medical Billing and Coding, Healthcare Administration
Salary/Wage Range or Industry Benchmark: 25000 - 44000 USD Yearly USD 25000.00 44000.00 YEAR
Job Description & How to Apply Below
Outpatient Insurance & Eligibility Specialist / Patient Financial Services Representative

Position Type:
Contract

Duration: 8 months

Schedule:

Remote

Openings: 2

Compensation:
Based on experience

Green Key Resources is working with a leading healthcare organization to fill Outpatient Insurance & Eligibility Specialists / Patient Financial Services Representatives (PFS) roles to support their revenue cycle operations.

This is a fully remote opportunity for professionals with experience in healthcare revenue cycle, patient financial services, insurance eligibility, billing, or related areas.

Key Responsibilities
  • Verify patient insurance coverage, eligibility, benefits, and coordination of benefits.
  • Research payer and carrier information through insurance portals and clearinghouse systems.
  • Update insurance information and carrier records accurately and promptly.
  • Review copays, deductibles, cost-sharing, and coverage information.
  • Support billing, registration, coding, and other revenue cycle teams with insurance-related questions.
  • Respond to patient and internal inquiries in a clear, professional, and empathetic manner.
  • Research patient accounts and accurately document findings, follow‑up actions, and account activity.
  • Protect PHI and other confidential patient information.
  • Manage assigned work queues and complete requests within established turnaround times.
Required Qualifications
  • High school diploma or equivalent.
  • Prior experience in healthcare revenue cycle management, patient financial services, patient registration, medical billing, or insurance eligibility.
  • Experience using payer portals to verify insurance eligibility and benefits is required.
  • Strong attention to detail and ability to accurately interpret insurance information.
  • Excellent written and verbal communication skills.
  • Strong customer service skills, with the ability to explain insurance and billing information clearly.
  • Ability to handle confidential patient information with discretion.
  • Strong organizational skills and ability to prioritize multiple requests while meeting deadlines.
  • Working knowledge of Microsoft Office and electronic health record or practice management systems.
Preferred Qualifications
  • 3+ years of healthcare RCM or patient financial services experience.
  • Experience with cost-sharing estimates, payer follow‑up, claim‑related research, or clearinghouse systems.
  • Experience supporting medical billing, coding, or virtual back‑office teams.
  • RCM-related certification or education such as CRCR, CPB, RHIT, or an associate degree in Health Information Management.
Ideal Backgrounds

Candidates with titles such as Insurance & Eligibility Specialist, Patient Financial Services Representative, Patient Access Representative, Revenue Cycle Specialist, Medical Billing Specialist, Insurance Verification Specialist, or similar may be a strong fit.

If you have hands‑on experience verifying insurance benefits and working within a healthcare revenue cycle environment, we'd be interested in speaking with you.

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