Cardiology Clinic Insurance Verification Specialist

Community Health Systems, Inc.; Longview (TX); On-site; USD 25,000 - 33,000; Full time

Benefits offered by this job

Medical insurance

Dental insurance

Vision insurance

Life insurance

401(k) with company match

PTO and extended illness benefits

Licensure and certification assistance

Job summary

Community Health Systems, Inc. in Longview, TX is seeking an Insurance Verification Representative to verify coverage for scheduled procedures. You will work with clinical and administrative teams to ensure timely reimbursement and accurate patient records.

The role involves obtaining necessary authorizations, communicating coverage details to patients, and maintaining up-to-date information in billing systems. A 0-2 year track record in a related role is expected.

Qualifications

• 0-2 years of experience in insurance verification, billing, or a related role in a healthcare setting required
• Knowledge of insurance terminology, eligibility verification, and authorization processes are preferred
• Strong attention to detail and accuracy in data entry and documentation
• Effective communication and interpersonal skills for interacting with patients, staff, and insurance companies

Responsibilities

• Verifies patient insurance information, including eligibility, benefits, and coverage limitations.
• Reviews scheduled services and procedures to determine any necessary pre-certifications or authorizations.
• Coordinates with insurance providers to obtain required authorizations and verifies prior approvals.
• Communicates insurance requirements and benefit information to patients and answers any questions related to coverage.
• Accurately enters and updates insurance information in the patient’s medical record and billing systems.
• Identifies and resolves any insurance-related discrepancies or issues, working with other departments as necessary.
• Assists with resolving denied authorizations and facilitates appeals as required.
• Performs other duties as assigned.
• Maintains regular and reliable attendance.
• Complies with all policies and standards.

Skills

Insurance verification

Billing in healthcare

Data entry

Communication skills

Education

High School Graduate

Job description

Community Health Systems, Inc. in Longview, TX is seeking an Insurance Verification Representative to verify coverage for scheduled procedures. You will work with clinical and administrative teams to ensure timely reimbursement and accurate patient records.

The role involves obtaining necessary authorizations, communicating coverage details to patients, and maintaining up-to-date information in billing systems. A 0-2 year track record in a related role is expected.