Insurance Verification Coordinator

Retina Consultants of Texas; San Antonio (TX); On-site; USD 19,000 - 30,000; Full time

Benefits offered by this job

Medical, dental and vision benefits

401(k) retirement plan with company 3%

Paid holidays and paid time off

Job summary

Retina Consultants of Texas is seeking an Insurance Verification Coordinator to join our San Antonio team. The role focuses on verifying patient insurance information, resolving issues to ensure a clean billing process, and following up on accounts requiring evaluation.

Strong phone communication is essential to obtain verbal verification. Hours align with Eligibility and Benefits Department, Monday–Friday, 8:00am–5:00pm, with weekly schedules based on provider clinics and surgeries.

Qualifications

• High School diploma or GED required.
• Minimum 2 years of relevant experience or equivalent.
• Proficiency with MS Office and EMR systems.
• Strong phone communication and customer service skills.
• Knowledge of HIPAA guidelines/regulations.

Responsibilities

• Verify insurance eligibility for patients and upcoming appointments.
• Review deductibles and copays and enter data into billing system.
• Assist front office with verification questions.
• Respond to inquiries from patients, staff and insurers.
• Collaborate with reception to ensure clean billing.
• Perform miscellaneous duties as assigned.
• Attend monthly staff meetings and protect confidentiality.

Skills

Computer skills

Customer service

Administrative skills

HIPAA compliance

Bilingual English/Spanish (preferred)

Education

High School diploma or GED

Tools

MS Office

EMR

Practice management software

Job description

Overview

Retina Consultants of Texas (RCTX) is seeking Insurance Verification Coordinator to join our innovative team with the mission of Fighting Blindness For The World To See. This position will be responsible for performing clerical functions for patient billing, including verification of insurance information and resolution of problems to ensure a clean billing process. Follows up on accounts that require further evaluation. Your duties will also involve calling to obtain verbal insurance verification which requires strong phone communication skills. It’s important to focus and work quickly, and efficiently to process verifications in a timely manner. This role will report to our San Antonio Spurs Lane Office.

Candidates must be able to meet the needs of the patients and providers, and support the Eligibility and Benefits Department hours of Monday through Friday, 8:00am - 5:00pm. Schedules are provided weekly and are based on the provider's clinic, patient and surgery schedules.

Retina Consultants of Texas is the largest and most respected retina-only ophthalmology practice in the United States. Our group consists of 26 world renowned physicians leading the world in retinal care. While serving two major metropolitan markets (and their extensions) our combined culture allows us to best serve our patients, referral sources and our own team of physicians. RCTX also invests heavily in diagnostic equipment, providing state-of-the‑art retina imaging, laser and diagnostic capabilities to each patient. This, combined with the clinical expertise of our physicians, an outstanding and devoted staff, and 25 convenient locations to serve our patients.

We worked hard to create our culture as Retina Warriors. We strongly emphasize our core values of Hard Work, Authentic Care and Innovation in everything we do. It is our belief that by investing in our people, our people will be empowered of their own accord to provide the highest quality patient experience.

Benefits

• Employee Paid Benefits such as Medical, Dental, and Vision, short-term disability, voluntary life insurance, accident, critical illness, hospital indemnity, pet insurance, HSA pre-taxed contributions, 401 (k) retirement savings contributions both Roth and Traditional options starting date of hire.
• Employer Paid Benefits such as long-term disability, $25,000 basic life insurance policy, 3% 401(k) safe harbor contribution, HSA employer contributions, annual performance merit increases, certification opportunities, rewards & recognition platform, WellHub Starter Plan Gym Membership, paid time off and (8) paid holidays + (1) floating holiday annually.

RCTX is an equal opportunity employer, and all qualified applicants will receive consideration for employment without regard to race, color, religion, sex, gender identity, sexual orientation, age, national origin, disability, military service, veteran status, genetic information, or any other protected class under applicable law.

Duties and Responsibilities

• Verify insurance eligibility for medical insurances for upcoming appointments by utilizing online websites or by contacting the carriers directly.
• Review patient deductibles and/or copays and enter into the billing system.
• Assist front office with verification questions or concerns.
• Answers questions from patients, clerical staff and insurance companies.
• Works in conjunction with the reception to ensure clean billing.
• Performs miscellaneous job-related duties as assigned.
• Participates in educational activities and attends monthly staff meetings.
• Maintains strictest confidentiality; adheres to all HIPAA guidelines/regulations.

Skills / Competencies

• Proficient in computers and relevant software applications and practice management technology.
• Knowledge of customer service principles and practices.
• Strong knowledge of administrative and clerical procedures.
• Possession of strong problem‑solving skills and sound judgment.
• Ability to collaborate across departments and build effective relationships with internal and external customers to achieve goals.
• Ability to achieve team goals while demonstrating organizational values and utilizing resources responsibly.
• Ability to be proactive and take initiative.
• Exhibit high level of quality through attention to detail and monitoring of work.
• Possession of strong organizational skills.
• Excellent verbal and written communication, as well as exceptional interpersonal communication skills.
• Ability to work independently on assigned tasks, as well as to accept direction on given assignments.
• Deals with confidential information and/or issues using discretion and judgment.
• Bilingual in Spanish / English preferred.
• Knowledge of general office tasks, confidentiality, filing, medical terminology, CPT coding, and managed care referral process
• Knowledge of related OSHA and JCAHO guidelines and requirements
• Basic Proficiency in MS Office (Word, Outlook), EMR
• Ability to type, file, and to use a multi‑line telephone, computer, fax, copier and adding machine

Qualifications

Education Requirements

• High School diploma or GED

Experience Requirements

• Minimum of 2 year of relevant experience and/or training, or equivalent combination of education and experience preferred

Physical Abilities

• Prolonged periods sitting at a desk and working on a computer.