Insurance Verification Representative

Gastromed, Llc; Coral Gables (FL); On-site; USD 36,000 - 45,000; Full time

Benefits offered by this job

Health insurance (100% employer paid)

Job summary

Gastromed, Llc is seeking an Insurance Verification Representative to confirm patient insurance coverage and ensure authorizations are processed before appointments. The role requires a high school diploma, basic computer/EMR skills, and strong communication abilities in a fast-paced medical environment.

Preferred bilingual English/Spanish candidates with 1–2 years in healthcare settings. You will verify active coverage, assist with referrals, and coordinate with front desk to maintain accurate

Qualifications

• High School Diploma or equivalent required.
• Bi-lingual English/Spanish preferred; read, write and speak English.
• 1-2 years of related experience in a medical setting preferred.
• Strong organizational skills and ability to multi-task effectively.
• Demonstrates skill in using PCs, EMR systems and authorization tools with minimal errors.

Responsibilities

• Obtain patient referrals and/or authorizations days prior to visits.
• Register/update patients’ insurance in the EMR.
• Verify patient insurance is active and participating provider.
• Review deductibles and co-pays; update patient records.
• Procure referrals/authorization via portal or insurer contact.
• Assist patients with inquiries and ensure expectations are met.
• Coordinate with front desk to ensure clean billing.
• Follow up on callbacks before end of day.
• Handle calls and schedule/reschedule appointments as needed.
• Maintain professional conduct and adhere to policies.
• Perform other duties as assigned.

Skills

Communication skills

Customer service

Organizational skills

Independent work

ConfidentialityHIPAA

Professionalism

Tech proficiency

Education

High School Diploma

Tools

EMR System

Insurance portal

Job description

The Insurance Verification Representative is responsible for confirming the patient’s insurance coverage and verifying that proper insurance authorizations are processed prior to the patient appointments to ensure a smooth and efficient visit.

QUALIFICATIONS/EDUCATION:

High School Diploma or equivalent required.

Bi-lingual English/Spanish preferred; must be able to read, write and speak English.

• 1-2 years of related experience in a medical setting preferred.
• Strong organizational skills and ability to multi-task effectively.
• Demonstrates skill in the use of personal computers, various programs, and applications required to competently execute job duties. Internet, document with Electronic Health Records and/or authorization system with minimal typing/spelling errors, send e-faxes and email.

CERTIFICATIONS/LICENSES:

N/A

ABILITIES/SKILLS:

• Basic computer skills to be able to recognize and understand our EMR System.
• Excellent communication, Customer Service, and telephone skills.
• Strong organizational skills and ability to multi-task effectively.
• Must be able to work independently with minimal supervision in a fast-paced environment.
• Able to respect and maintain patient confidentiality at all times and comply with HIPAA Regulations.
• Must be dependable and conduct him/herself in a professional manner.
• Demonstrates skill in the use of personal computers, various programs, and applications required to competently execute job duties.
• Must be able to follow policies and procedures.

SUPERVISORY RESPONSIBILITIES:

• N/A

ESSENTIAL DUTIES/ RESPONSIBILITIES:

• Responsible for obtaining patient referrals and/or authorizations days prior to the office visit and informing the patient of any deductible or co-pay responsibility.
• Properly registers or updates patients’ insurance information in the EMR.
• Verifies that every patient’s insurance is active and that we are a participating provider.
• Reviews patient deductibles and/or co-pays and updates the patient record.
• Obtains referrals and/or authorization through the insurance portal or by calling the insurance company.
• Assist patients with inquiries or concerns and ensure patients’ expectations are met.
• Works closely with the front desk to ensure clean billing.
• Follows up on callbacks before the end of the day.
• Completes tasks or actions assigned to him/her in a timely manner.
• Ability to answer phones, and schedule/reschedule appointments as needed.
• Conducts all activities in a professional, polite, and courteous manner and abides by company policies and procedures.
• Perform any other duties as assigned by management.

We offer Competitive salaries,

• Health Insurance is covered 100% by the employer.