Benefit Investigation Analyst

Day-to-Day:
• Conduct patient benefits investigations and eligibility verifications with national insurance payers and TPAs
• Verify coverage, deductibles, co-insurance, and patient financial responsibility
• Serve as the primary liaison between insurance payers and the sales organization
• Accurately document benefit findings and communicate details to sales representatives
• Support the patient onboarding process through timely and accurate insurance verification
• Respond to benefit-related questions and escalations from sales and internal stakeholders
• Maintain patient records and documentation within Salesforce and internal systems
• Stay current on payer policies, coverage guidelines, and reimbursement requirements
• Ensure compliance with HIPAA and healthcare regulatory standards
• Partner with internal operations and authorization teams to support patient access to therapy

Job Description:
Insight Global is seeking a Benefit Investigation Analyst for a leading medical device client. This individual will act as the bridge between national insurance payers and the sales organization, conducting detailed patient benefits investigations and eligibility verifications. The ideal candidate will have experience navigating healthcare benefits, working with TPAs and national payers, and effectively communicating coverage details to internal stakeholders. This person will play a critical role in helping patients gain access to innovative medical technology by providing accurate benefit information that enables the sales team to educate patients on coverage and financial responsibility. This is a fully remote opportunity with strong long-term growth potential.

We are a company committed to creating diverse and inclusive environments where people can bring their full, authentic selves to work every day. We are an equal opportunity/affirmative action employer that believes everyone matters. Qualified candidates will receive consideration for employment regardless of their race, color, ethnicity, religion, sex (including pregnancy), sexual orientation, gender identity and expression, marital status, national origin, ancestry, genetic factors, age, disability, protected veteran status, military or uniformed service member status, or any other status or characteristic protected by applicable laws, regulations, and ordinances. If you need assistance and/or a reasonable accommodation due to a disability during the application or recruiting process, please send a request to HR@insightglobal.com.To learn more about how we collect, keep, and process your private information, please review Insight Global's Workforce Privacy Policy: https://insightglobal.com/workforce-privacy-policy/.

• 3+ years of healthcare benefits investigation, insurance verification, patient access, intake, authorization, or benefits navigation experience
• Experience contacting national payers and verifying patient benefits and eligibility
• Strong knowledge of Commercial and Medicare insurance plans
• Experience interpreting coverage details, deductibles, co-insurance, and out-of-pocket responsibilities
• Knowledge of healthcare insurance requirements, coverage policies, and payer guidelines
• Experience working with TPAs (Third Party Administrators)
• Strong communication, documentation, and organizational skills
• Experience working in HIPAA-compliant healthcare environments
• Experience utilizing CRM systems and managing patient information

• Salesforce CRM experience
• Veteran Affairs payer experience
• Authorization or reimbursement support experience
• Knowledge of Medicare, Medicaid, and payer policy guidelines

Benefit packages for this role will start on the 1st day of employment and include medical, dental, and vision insurance, as well as HSA, FSA, and DCFSA account options, and 401k retirement account access with employer matching. Employees in this role are also entitled to paid sick leave and/or other paid time off as provided by applicable law.