Insurance Verification and Eligibility Specialist

Olympic Sports & Spine; Tacoma (WA); On-site; USD 42,000 - 54,000; Full time

Job summary

Olympic Sports & Spine seeks an Insurance Verification and Eligibility Specialist for our centralized Tacoma billing office. You will verify insurance eligibility and benefits, obtain prior authorizations, and support clinic staff to ensure timely care for new patients.

This 100% in-office role offers Monday–Friday hours from 7:30 a.m. to 5:00 p.m. and a fast-paced medical billing environment. Strong attention to detail and excellent communication are essential to success.

Qualifications

• High School diploma and 3 years of related experience or equivalent education/experience.
• Experience in medical billing environment preferred.

Responsibilities

• Verify patient eligibility and insurance benefits before the initial visit.
• Obtain required prior authorizations.
• Communicate with clinic staff regarding required documentation.
• Enter insurance benefit and authorization data into the EMR and maintain documentation.
• Review patient registration and demographics for accuracy; contact patients for missing information.
• Prepare patient insurance benefit letters for distribution by clinic staff.
• Ensure all verifications and prior authorizations are completed daily.

Skills

Insurance verification

Customer service

Attention to detail

Communication

Education

High School diploma

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:

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

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

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.

#ADMIN-CORP

As part of our commitment to maintaining a safe and compliant workplace, all offers of employment at Olympic Sports & Spine are contingent upon the successful completion of a thorough background screening process. This may include, but is not limited to, verification of employment history, education, credit check (where applicable), criminal record check, and reference checks. By submitting your application for this position, you acknowledge and consent to the background screening process. Any offer of employment will be conditional until the screening process is completed and the results are deemed satisfactory by Olympic Sports & Spine. Olympic Sports & Spine is an equal opportunity employer and will comply with all applicable local, state, and federal laws regarding background screening.