Healthcare Insurance Eligibility Verifier

HCA Healthcare, Inc.; San Antonio (TX); On-site; USD 40,000 - 50,000; Full time

Benefits offered by this job

Comprehensive benefits

Wellbeing support

Paid time off

401(k) matching

Education support

Dependent scholarships

Discounts

Job summary

South Texas Radiology Imaging Centers in San Antonio, TX is hiring an Insurance Verification Representative to verify patient eligibility and benefits before exams, including government programs and workers' compensation.

You will coordinate with physicians and imaging centers, determine pre-certification or authorization needs, and communicate results to patients and staff, ensuring accurate billing and smooth patient flow.

Qualifications

• High School Graduate or GED required.
• Excellent phone etiquette and communication skills.
• Proficient with telephone, computer and office equipment.
• Working knowledge of medical terminology.
• Working knowledge of health insurance, government programs and workers' compensation.

Responsibilities

• Verifies policy and group numbers, guarantor/dependents with insurer; confirms eligibility and benefits.
• Annotates scheduling changes in the patient history notes.
• Verifies whether pre-certification or pre-authorization is required for exam.
• Contacts referring physician office to obtain information for authorization.
• Notifies referring physician office, patient and/or imaging center if exam not authorized or not covered.
• Supports STRIC mission and demonstrates excellent customer service.
• Understands goals of STRIC and associated facilities.
• Learns and complies with safety policies; reports unsafe conditions.
• Adheres to Code of Conduct and ethical standards.
• Completes other duties as assigned.

Skills

Phone etiquette

Communication skills

Medical terminology

Health insurance knowledge

Education

High School Diploma or GED

Job description

South Texas Radiology Imaging Centers in San Antonio, TX is hiring an Insurance Verification Representative to verify patient eligibility and benefits before exams, including government programs and workers' compensation.

You will coordinate with physicians and imaging centers, determine pre-certification or authorization needs, and communicate results to patients and staff, ensuring accurate billing and smooth patient flow.