Insurance Eligibility Specialist

Olympic Sports and Spine; Tacoma (WA); On-site; USD 38,000 - 52,000; Full time

Job summary

Olympic Sports and Spine is seeking an Insurance Verification and Eligibility Specialist to join our centralized billing team at our Tacoma office. The role focuses on verifying eligibility and benefits, obtaining authorizations, and ensuring accurate patient information to support a smooth care start for new patients.

The ideal candidate will be detail-oriented, organized, and comfortable in a fast-paced medical billing environment.

Qualifications

• High School diploma or equivalent is required.
• Three years of experience in a related position or equivalent education/experience may be considered.

Responsibilities

• Verify patient eligibility, insurance benefits, and obtain required prior authorizations before the initial visit.
• Communicate with clinic staff regarding required insurance documentation and follow up to ensure timely completion.
• Contact insurance companies to verify benefits, obtain authorizations, and perform follow-up as needed.
• Enter insurance benefit and authorization information into the EMR system and maintain detailed documentation of all communications.
• Review and confirm the accuracy of patient registration, demographic, and insurance information; contact patients to obtain missing information.
• Prepare patient insurance benefit letters in the EMR system for distribution by clinic staff.
• Ensure all insurance verifications and prior authorizations for scheduled patients are completed before the close of business each day.

Education

High School diploma or equivalent

Tools

EMR system

Job description

Insurance Verification and Eligibility Specialist

Olympic Sports and Spine (OSS) is seeking an experienced Insurance Verification and Eligibility Specialist to join our centralized billing team. In this role, you will help ensure a smooth start to care for new patients by verifying insurance eligibility and benefits across all OSS locations.

This is a 100% in-office position based at our centralized Tacoma billing office.

The ideal candidate is detail-oriented, organized, and comfortable working in a fast-paced medical billing environment. If you enjoy supporting patients and clinic teams, take pride in excellent customer service, and are looking for a stable Monday–Friday schedule with no weekends required, we would love to hear from you. Hours are between 7:30 a.m. and 5:00 p.m.

JOB RESPONSIBILITIES:

• Verify patient eligibility, insurance benefits, and obtain required prior authorizations before the initial visit.
• Communicate with clinic PSR and treating staff regarding required insurance documentation and follow up to ensure timely completion.
• Contact insurance companies to verify benefits, obtain authorizations, and perform follow-up as needed.
• Enter insurance benefit and authorization information into the EMR system and maintain detailed documentation of all communications with insurance companies, patients, clinic staff, and billing personnel.
• Review and confirm the accuracy of patient registration, demographic, and insurance information; contact patients directly to obtain missing or additional information when necessary.
• Prepare patient insurance benefit letters in the EMR system for distribution by clinic staff.
• Ensure all insurance verifications and prior authorizations for scheduled patients are completed before the close of business each day.

PERFORMANCE REQUIREMENTS:

• Knowledge of insurance verification, benefits, and authorization processes.
• Proficient computer skills and the ability to operate standard office equipment, including multi-line telephones, scanners, and copiers.
• Strong verbal and written communication skills with the ability to interact professionally and effectively with patients, staff, insurance representatives, and referral sources.
• Ability to read, understand, and follow oral and written instructions.
• Ability to establish and maintain positive working relationships with patients, employees, and external partners.
• Highly organized, detail-oriented, and able to prioritize multiple tasks in a fast-paced environment.

EDUCATION/EXPERIENCE:

Minimum: High School graduation or equivalent AND three years of experience in an appropriately related position OR Equivalent education/experience.

BENEFITS:

If you are looking for a great workplace, look no further!

• https://www.osstherapy.com/employee-benefits

Equal Opportunity Statement

We are an equal opportunity employer and value diversity at our company. We do not discriminate on the basis of age, ancestry, citizenship, color, ethnicity, family or medical care leave, gender identity or expression, genetic information, marital status, medical condition, national origin, physical or invisible disability status, political affiliation, veteran status, race, religion, or sexual orientation.