Ambulatory Insurance Verifier & Patient Access

DHR Health; Edinburg (TX); On-site; USD 42,000 - 54,000; Full time

Job summary

DHR Health in Edinburg, TX is seeking an Insurance Verifier, Ambulatory Patient Access who will determine insurance eligibility and financial status by reviewing insurance information via phone or online verification, and by contacting third-party payers for benefits and coverage dates.

They will verify referrals and authorizations, assist with billing discrepancies, and communicate clearly with patients, providers, and carriers while maintaining confidentiality and professional standards.

Qualifications

• High School Diploma/ GED is required.
• Comprehensive understanding of insurance benefits, referral requirements, reimbursement and medical terminology.
• Ability to work with geriatric patients in a high volume fast paced practice.
• Computer skills required with knowledge of Microsoft Office suite, and the internet.
• Excellent written and verbal communication skills required.
• Bilingual – English/Spanish – preferred.

Responsibilities

• Verifies benefits and referrals on all accounts requiring referrals and authorizations daily.
• Assists billing staff with researching accounts with discrepancies in payments, rejections and/or denials.
• Handles calls and questions from patients, physicians, carriers and ancillary providers regarding referrals and authorizations.
• Confirms billing address and insurance coverage details for services rendered.
• Uses carrier portals and verification systems to obtain eligibility and benefits.

Skills

Insurance verification

Medical terminology

Bilingual English/Spanish

Communication

Microsoft Office

Education

High School Diploma or GED

Tools

TMHP

Availity

Patient accounting software

Job description

DHR Health in Edinburg, TX is seeking an Insurance Verifier, Ambulatory Patient Access who will determine insurance eligibility and financial status by reviewing insurance information via phone or online verification, and by contacting third-party payers for benefits and coverage dates.

They will verify referrals and authorizations, assist with billing discrepancies, and communicate clearly with patients, providers, and carriers while maintaining confidentiality and professional standards.