Insurance Eligibility & Benefits Verifier

San Antonio Wings, Inc; Enid (OK); On-site; USD 36,000 - 48,000; Full time

Job summary

San Antonio Wings, Inc. is seeking an Insurance Eligibility Verification Specialist to verify patient insurance coverage prior to scheduled medical services and ensure accurate eligibility and benefits information is obtained and communicated to staff and patients.

The role supports efficient billing and reimbursement processes and may involve locating and correcting insurance issues to maximize revenue. The specialist will enter data into the EMR, communicate with patients to obtain missing

Qualifications

• High school diploma or equivalent required.
• Proficiency in data entry, Excel, word processing, ten-key calculator and typing required.
• Ability to organize, communicate and perform detailed functions required.

Responsibilities

• Verify patient insurance eligibility and benefits for upcoming appointments using payor portals or by contacting insurance carriers.
• Confirm coverage details including copay, deductible, coinsurance, and coverage limitations.
• Enter accurate insurance and eligibility information into the EMR.
• Contact patients to obtain missing insurance information.
• Train PAS on insurance eligibility.
• Identify and resolve insurance eligibility discrepancies prior to the patient visit if possible.
• Prepare ad hoc projects for management, as necessary.
• Maintain strict confidentiality; adhere to all HIPAA guidelines/regulations.
• Document verification results and maintain detailed records for billing and audit purposes.

Skills

Data entry

Excel

Typing

Ten-key calculator

Communication

Detail-oriented

HIPAA knowledge

Education

High school diploma or equivalent

Job description

San Antonio Wings, Inc. is seeking an Insurance Eligibility Verification Specialist to verify patient insurance coverage prior to scheduled medical services and ensure accurate eligibility and benefits information is obtained and communicated to staff and patients.

The role supports efficient billing and reimbursement processes and may involve locating and correcting insurance issues to maximize revenue. The specialist will enter data into the EMR, communicate with patients to obtain missing