Insurance Verification Coordinator II

Spine Team Texas Management Company; Southlake (TX); On-site; USD 36,000 - 48,000; Full time

Job summary

Spine Team Texas is seeking an Eligibility Coordinator at our Southlake, TX location. The role involves obtaining benefit information for new and existing patients lacking recent insurance verification, coordinating with the precertification and collection teams, and supporting the business office as needed.

The position requires a High School diploma and at least 3 years of medical billing/pre-certification experience, with strong attention to detail and English communication skills.

Qualifications

• High School diploma or equivalent is required.
• Minimum of 3 years Medical Billing or pre-certification experience required.
• Detail oriented and organizational skills.
• Computer experience, typing and ability to operate calculator.
• Ability to effectively communicate with patients and insurance carriers.
• Possess the ability to work productively, either independently or with other individuals.
• Possess the ability to plan and execute work projects.
• Proficient in communicating in the English language both written and verbally.
• Coding Certificate or knowledge preferred.

Responsibilities

• Obtain benefit information for all new patients and established patients that have not had insurance verification within 90 days, and perform this task in a timely manner and as required.
• Document all pertinent information and necessary communication in the Patient Registration and "Insurance Eligibility" box and patient alert notes of registration.
• Communicate closely with the Scheduling Coordinators for East and West locations and the Patient Service Associates in each clinic when stat verifications arise or information is lacking from the patient to complete the verification process.
• Other duties and responsibilities may be assigned by the Patient Financial Services Manager.

Skills

Detail oriented

Organizational skills

Effective communication

Independent work

Plan & execute work

English language proficiency

Education

High School diploma or equivalent

Coding certificate or knowledge (preferred)

Tools

Computer experience

Typing

Calculator

Job description

Job Location: Southlake Headquarters - Southlake, TX 76092
Position Type: Full Time
Education Level: High School
Job Shift: Day
Job Category: Health Care

Job Summary

The Spine Team Texas Eligibility Coordinators are responsible for obtaining benefit information for all new patients and established patients that have not had insurance verification within 90 days, in a timely manner and as required. The position will provide support to the Precertification Specialist when necessary and the collection team to obtain proof of insurance requirements necessary to obtain payment for claims. The position will also assist the business office team on an as needed basis. This position requires the full understanding and active participation in fulfilling the mission of Spine Team Texas. The Eligibility Coordinator reports directly to the Patient Financial Services Manager who is under the direction of the Business Office Director.

Spine Team Texas Attributes

• Knowledge – The blending of job related education, skills and experience.
• Quantity – Level of satisfactory output generated in position per unit time.
• Accuracy – Absence of errors.
• Judgment – Capacity to make reasonable decisions.
• Innovation – Imagination and creativity used to better position.
• Appearance & Habits – Personal habits, grooming, uniform / clothing.
• Orderliness – Organization of the individual’s work and work area.
• Courtesy – Respect for feelings of others. Politeness on the job.
• Cooperation – Willingness to help others accomplish their objectives.
• Initiative – Voluntarily starting projects. Attempting non-routine jobs and tasks.
• Reliability – Dependability and trustworthiness.
• Perseverance – Steadfast pursuit of job objectives when faced with unexpected obstacles.
• Stability – Even temperament. Acceptance of unavoidable tension and pressure.
• Alertness – Ability to quickly understand new information and situations.
• Professionalism – Professional actions, communications and attitude.
• Team work – Ability to work in a team for the betterment of staff, patients, and the Company.
• Observance – Observance of Company policies and procedures.
• Attendance – Consistent adherence to work schedule.

Job Responsibilities

• Obtain benefit information for all new patients and established patients that have not had insurance verification within 90 days, and perform this task in a timely manner and as required.
• Document all pertinent information and necessary communication in the Patient Registration and "Insurance Eligibility" box and patient alert notes of registration.
• Communicate closely with the Scheduling Coordinators for East and West locations and the Patient Service Associates in each clinic when stat verifications arise or information is lacking from the patient to complete the verification process.
• Other duties and responsibilities may be assigned by the Patient Financial Services Manager.

Customer Service

All Spine Team Texas employees are required to maintain the highest level of customer service at all times. Employees must always speak in a kind, courteous and professional manner when dealing with a patient/customer or co-worker. Employees are required to fulfill the Spine Team Texas mission of "Offering an Unparalleled Patient Experience!" All employees must exhibit a spirit of cooperation and positive attitude. Professionalism is to be maintained at all times.

Team Concept

Spine Team Texas was founded on a team concept approach. To build and enhance the team, each employee must contribute positive interaction, promote value and be a "team-player" not only for their unit or department, but for Spine Team Texas as a whole.

Physical Requirements & Work Environment

Must be able to sit for long periods of time in a well-lit, air conditioned office environment. Must have ability to lift a minimum of 5 pounds. Must be able to work under pressure. Tasks involve no exposure to blood or other potentially infectious materials.

Qualifications

• High School diploma or equivalent is required.
• Minimum of 3 years Medical Billing or pre-certification experience required.
• Detail oriented and organizational skills.
• Computer experience, typing and ability to operate calculator.
• Ability to effectively communicate with patients and insurance carriers.
• Possess the ability to work productively, either independently or with other individuals.
• Possess the ability to plan and execute work projects.
• Proficient in communicating in the English language both written and verbally.
• Coding Certificate or knowledge preferred.