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ASCENSION is seeking a Medical Insurance Verification Specialist to support nationwide insurance entry and verification operations for the Department of Veterans Affairs’ Consolidated Patient Account Center Revenue Operations program.

We are looking for a healthcare administrative professional who understands that accurate insurance information is not simply a data-entry function. The work directly supports the integrity of VA patient insurance records and the Government’s ability to appropriately identify and recover payments from third-party health insurers.

The ideal candidate will bring hands-on experience with health insurance eligibility verification, coordination of benefits, insurance policy maintenance, payer research, medical or prescription insurance information, healthcare revenue-cycle operations, or closely related patient-account functions.

This position is best suited for someone who is highly detail-oriented, organized, comfortable working within structured procedures, and able to maintain accuracy while processing a recurring production workload. The successful candidate should be self-directed and dependable, possess sound analytical judgment, and be comfortable identifying discrepancies and determining when an issue can be resolved independently versus when it must be referred for additional review.

Because this work involves sensitive Veteran information, the candidate must also demonstrate excellent professional judgment and a strong commitment to patient confidentiality, privacy, information security, and adherence to Government procedures.

Position Summary

The Medical Insurance Verification Specialist will perform insurance identification, verification, establishment, maintenance, and related administrative activities associated with Veteran medical and prescription insurance records.

The specialist will research and validate third-party insurance information using authorized VA systems, insurance payer portals, source documentation, and approved business processes. Activities may include establishing new insurance information; verifying eligibility and coverage; updating or terminating policies; sequencing and resequencing insurance coverage; coordinating benefits; researching payer information; resolving discrepancies; reviewing rejected entries; documenting actions taken; and referring records requiring additional Government review.

The VA’s objective is to maintain accurate, timely, and compliant third-party insurance information across CPAC operations nationwide.

Performance is highly measurable. The PWS establishes:

• 93% or greater on-time completion of assigned insurance entries and verifications.
• 95% or greater individual data-entry quality.
• 100% review and action on rejected entries within five business days.
• No substantiated violations of VA privacy or information-security requirements.
• Continued maintenance of required VA system and provider-portal access.

This is therefore an ideal opportunity for someone who enjoys structured production work, research, problem solving, healthcare administration, and measurable performance expectations.

Anticipated Day-to-Day Activities

The Medical Insurance Verification Specialist will:

• Review assigned Veteran insurance records and supporting documentation to determine required insurance-entry or verification actions.
• Verify patient insurance eligibility, policy status, coverage information, effective dates, termination dates, and other required insurance data using authorized resources.
• Research medical and prescription insurance information through approved payer portals and other authorized verification methods.
• Identify appropriate insurance carriers and validate payer information before establishing or modifying records.
• Establish new medical and prescription insurance information within authorized VA healthcare systems and related interfaces.
• Update existing insurance records when coverage, eligibility, effective dates, payer information, or other relevant information changes.
• Terminate inactive or invalid insurance policies in accordance with VA procedures and applicable CPAC guidance.
• Sequence and resequence insurance policies to accurately reflect primary, secondary, or other applicable coverage relationships.
• Coordinate benefits information when multiple insurance policies or payers are associated with the Veteran.
• Compare source documentation, payer information, and system records to identify discrepancies or incomplete information.
• Resolve routine insurance discrepancies using approved procedures and available documentation.
• Review rejected or erroneous insurance entries and take corrective action within prescribed timelines.
• Refer records that cannot be properly loaded, linked, or resolved to the designated CPAC Government contact in accordance with established procedures.
• Document verification results, research performed, updates made, discrepancies identified, and actions taken.
• Maintain assigned VA system credentials and insurance-provider portal access necessary to perform production work.
• Protect Personally Identifiable Information and Protected Health Information in accordance with HIPAA, VA privacy policies, information-security requirements, and applicable contractual requirements.
• Complete assigned workload within required turnaround times while consistently meeting established quality standards.
• Participate in Government-required conference calls, meetings, training sessions, and operational briefings when requested.
• Complete VA-provided training on VistA and related applications necessary to support insurance entry and verification.
• Apply updates to VA policies, CPAC guidebooks, procedures, payer requirements, and contract operating instructions as communicated by program leadership.
• Report access problems, system issues, recurring discrepancies, or workflow barriers that may affect production or timeliness.
• Support internal quality-control reviews and respond promptly to identified corrections or remediation requirements.
• Coordinate with supervisors and other team members to manage workload priorities and meet production requirements.
• Escalate unusual, complex, or unresolved insurance situations to the appropriate supervisor or Government-designated contact.