Insurance Verification

Sports Medicine Associates of San Antonio - SMASA; San Antonio (TX); On-site; USD 38,000 - 52,000; Full time

Job summary

Sports Medicine Associates of San Antonio - SMASA is seeking a detail-oriented Insurance Verification specialist to join its Business Office. You will verify coverage, obtain benefits, explain plans to patients, and support billing while ensuring HIPAA compliance.

Ideal candidates have 1–2 years in insurance verification, strong communication skills, and familiarity with EMR systems to securely manage patient accounts.

Qualifications

• High School Diploma required.
• Knowledge of insurance principles and regulations.
• Excellent communication and interpersonal skills.
• 1–2 years of experience in insurance verification or related field.
• Familiarity with EMR systems and healthcare billing workflows.

Responsibilities

• Verify patient insurance coverage and update records.
• Communicate with insurance companies to obtain benefit information.
• Assist patients with insurance inquiries and explain coverage details.
• Ensure claims are processed correctly and timely.
• Handle denials and appeals with healthcare providers as needed.
• Maintain patient confidentiality and HIPAA compliance.
• Provide support to billing and administrative staff.
• Maintain EMR knowledge and basic computer skills.

Skills

Insurance verification

Communication skills

HIPAA compliance

Education

High School Diploma

Tools

EMR

Job description

Sports medicine physician practice looking for a highly motivated individual to join the Business Office department as the Insurance Verification

Responsibilities

• Verify patient insurance coverage and update records accordingly
• Communicate with insurance companies to obtain benefit information
• Assist patients with insurance-related inquiries and explain coverage details
• Ensure that claims are processed correctly and timely
• Handle denials and appeals, and communicate with healthcare providers as needed
• Maintain patient confidentiality and adhere to HIPAA regulations
• Provide support to billing and administrative staff as necessary

Qualifications

Education: High School Diploma

Knowledge of insurance principles and regulations

Excellent communication and interpersonal skills

Experience: 1-2 years of experience in insurance verification or related field

Performance Requirements

• Excellent oral and written communication skills.
• Ability to communicate in a professional manner with outside representatives to resolve

patient accounts.

• Ability to identify and resolve problems in a timely manner.
• Ability to analyze and understand written communication from insurance companies

including explanation of benefits, and appeals.

• Able to handle multiple projects while working on the accounts receivable.
• Knowledge of EMR (Electronic Medical Records) and basic computer skills.