Insurance Verification Coordinator II assisting in routine insurance verifications supporting cancer detection studies. Communicating with study partners and ensuring compliance through attention to detail.
Responsibilities
Perform routine benefit verification activities for study participants, following standard operating procedures.
Use established systems to conduct individual and bulk eligibility checks and document results accurately.
Provide real-time phone assistance to study site partners during business hours to resolve insurance or cost-share questions.
Escalate complex inquiries appropriately.
Maintain and update patient demographic and insurance information in relevant systems with precision, ensuring data integrity and adherence to company and regulatory requirements.
Coordinate with team members and cross-functional partners to complete work assignments and maintain service quality standards.
Identify opportunities to improve process efficiency or accuracy and communicate suggestions to the supervisor.
Perform other assigned duties related to benefit verification and claims support as needed.
Requirements
High School Diploma or Associate Degree required.
1–2 years of related experience in insurance verification, healthcare billing, or a similar administrative role.
Familiarity with insurance carriers such as Blue Cross Blue Shield, United Healthcare, Cigna, Medicare, and Medicaid.
Working knowledge of insurance plan types (Medicare, Medicare Advantage, Medicaid, PPO, HMO, etc.).
Demonstrated accuracy, organization, and attention to detail when following established workflows.
Excellent verbal and written communication skills, with the ability to provide courteous, professional service to external partners and internal teams.
Ability to work effectively under general supervision and within defined guidelines while meeting deadlines.
Basic proficiency in data entry, Microsoft Office Suite, and CRM or eligibility verification systems.
Monday – Friday, 8:00 AM to 5:00 PM (Eastern Standard Time)
Benefits
Based on the role, colleagues may be eligible to participate in an annual bonus plan tied to company and individual performance, or an incentive plan.
We also offer a long-term incentive plan to align company and colleague success over time.
GRAIL offers a progressive benefit package, including flexible time-off, a 401k with a company match, and alongside our medical, dental, vision plans, carefully selected mindfulness offerings.
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