Back to the board

[Hiring] Insurance Verification Associate @Pearl

100% remote Flexible hours Hiring now

Role Description We're seeking a Part-Time Insurance Verification Associate with deep expertise in dental insurance plans and payer systems. You'll serve as the subject matter expert who identifies gaps in how our platform handles insurance verification, documents those gaps clearly, and works cross-functionally with engineering, product, sales, and customer success to drive fixes and validate their accuracy. This is a high-impact, highly collaborative role — you won't just flag issues, you'll own them through to resolution.

What You'll Do

  • Audit Pearl's insurance verification workflows and data for accuracy and completeness across plan types (PPO, Individual, DHMO, Medicare, Medicaid, FEP/FEDVIP, MediCal, and others)
  • Document gaps clearly — including what's wrong, why it matters, and what the correct behavior should be — in formats that engineering and product can act on
  • Partner with engineering to drive resolution of identified gaps, providing context and clarification throughout the fix cycle
  • Validate that fixes are accurate once implemented, and flag regressions
  • Serve as the go-to resource for payer-specific login requirements, eligibility rules, and verification workflows for top dental payers
  • Support sales and customer success with accurate, up-to-date information on plan and payer coverage as needed

Qualifications

  • Deep, hands-on knowledge of dental insurance verification across PPO, Individual, DHMO, Medicare, Medicaid, FEDVIP, and MediCal plans, including login and portal requirements for major payers (Delta Dental, Cigna, Aetna, MetLife, United Concordia, Guardian, Humana, and others)
  • Prior experience with dental software platforms or DSOs, and familiarity with how verification is handled in practice management systems (e.g., Dentrix, Dentrix Ascend, Denticon, Eaglesoft, Open Dental)
  • Strong written and verbal communication skills — able to translate complex insurance rules into crisp, actionable documentation for both technical and non-technical audiences
  • Drives issues to closure by partnering closely with engineering and product, managing multiple concurrent workstreams independently in a fully remote, async-friendly environment
  • Comfortable working cross-functionally across product, engineering, sales, and customer success teams

Nice to Have

  • Prior experience writing documentation or requirements for technical teams

Benefits

  • Remote work environment
  • Part-Time hourly contract (5-15 hours per week)

Apply tot his job Apply To this Job

Keep exploring

Insurance Verification Representative

100% remote Flexible hours

HEDIS Over Reader Nurse – Remote – Contract

100% remote Flexible hours

Senior Abstractor, HEDIS​/Quality Improvement; Remote

100% remote Flexible hours

Experienced Healthcare Consultant - Hedis II: Remote Opportunity for Medical Records Review and Quality Reporting

100% remote Flexible hours

Remote CDI Specialist

100% remote Flexible hours

Medical Virtual Assistant (Insurance Verification & Authorization Specialist)

100% remote Flexible hours

Remote HEDIS Job at A-Line Staffing Solutions in Jersey City

100% remote Flexible hours

Remote – HEDIS Abstractors / HEDIS Reviewers (6068)

100% remote Flexible hours

Senior Abstractor, HEDIS/Quality Improvement (Remote)

100% remote Flexible hours

Clinical Nurse Auditor, HEDIS Remote Part Time WA OR

100% remote Flexible hours

Global In-House HeadHunter - REMOTE (Oued Smar, Algiers, DZ, 16000)

100% remote Flexible hours

Rapid Resolution Specialist (Tier 1 IT Help Desk)

100% remote Flexible hours

Junior Design Engineer, Americas

100% remote Flexible hours

Experienced Data Entry Administrator – Remote Opportunity with arenaflex

100% remote Flexible hours

Data Entry Specialist – Remote Part‑Time Role Focused on Accuracy, Organization, and Quality Assurance at arenaflex

100% remote Flexible hours

Account Manager/PM (Commercial Furniture)

100% remote Flexible hours

School Occupational Therapist (OT) | $55/hr | 1 Remote Day | Janell, TX

100% remote Flexible hours

Experienced Customer Operations Specialist – Non-Profit Raffle Platform Support and Growth

100% remote Flexible hours

Senior Paid Media Business Intelligence Analyst – Data Analysis, Performance Reporting & Strategic Insights (Remote)

100% remote Flexible hours

Experienced Data Entry Administrator – Remote Opportunity with arenaflex

100% remote Flexible hours