Insurance Verification Representative

GastroMed, LLC; Miami (FL); On-site; USD 38,000 - 48,000; Full time

Benefits offered by this job

Health insurance covered 100%

Job summary

GastroMed, LLC is seeking an Insurance Verification Representative to confirm patient coverage and process authorizations before visits. You will verify active insurance and participation status, review deductibles, and support front-desk billing to ensure smooth patient care.

Bi-lingual English/Spanish preferred; read/write/speak English required. The role requires strong organizational skills, independent work, and confidentiality in a fast-paced medical environment.

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.
• Maintains patient confidentiality and HIPAA compliance.
• Proficient with EMR and insurance portals.

Responsibilities

• Obtain patient referrals and/or authorizations days prior to the office visit.
• 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.

Skills

Customer Service

Communication

Phone skills

Multitasking

HIPAA compliance

Independence

EMR familiarity

Education

High School Diploma or equivalent

Tools

EMR System

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.