Insurance Verification Representative - Cardiology Clinic

Community Health Systems; Longview (TX); On-site; USD 32,000 - 42,000; Full time

Benefits offered by this job

Medical insurance

Dental insurance

Vision insurance

Life insurance

PTO

401(k) match

Career development

Licensure reimbursement

Student loan support

Job summary

Community Health Systems in Longview, TX is seeking an Insurance Verification Representative for the Cardiology Clinic to verify patient coverage and benefits for scheduled procedures, ensuring accurate records and timely authorizations where needed.

You will collaborate with clinical and administrative teams, communicate coverage details to patients, and update billing systems to support smooth reimbursement.

Qualifications

• Experience verifying insurance coverage, eligibility, and benefits.
• Ability to determine required pre-certifications or authorizations.
• Strong communication with patients about coverage details.

Responsibilities

• Verify patient insurance information (eligibility, benefits, limits).
• Review services to determine needed pre-certifications or authorizations.
• Coordinate with providers to obtain required approvals.
• Communicate insurance requirements to patients and answer questions.
• Update insurance data in patient records and billing systems.
• Resolve discrepancies with other departments as needed.
• Assist with denied authorizations and appeals when required.

Skills

Insurance verification

Eligibility checks

Authorizations

Patient communications

Data entry

Problem solving

Team collaboration

Tools

Billing systems

Job description

Insurance Verification Representative - Cardiology Clinic

Longview, TX, United States

Trending

Job Description

Why Join Us?

• Be Valued for What You Bring to the Team– Competitive pay that rewards your hard work
• Benefits You Can Count On – Medical, dental, vision, and life insurance coverage
• Work Hard. Recharge Often. – Generous PTO and extended illness benefits
• Invest in Your Future – 401(k) with company match
• Grow With Us – Career development, learning opportunities, and advancement pathways
• We Invest in Your Success – Licensure and certification reimbursement for eligible roles
• Student Loan Support – Assistance available for eligible roles
• Your Wins Deserve Recognition – Employee rewards and recognition programs
• A Team You'll Love Working With – A collaborative, purpose-driven culture making a difference every day
• Additional Voluntary Benefits – Choose from options such as pet insurance, identity protection, and legal insurance.

Great people. Great benefits. Meaningful work. Join us and make an impact.

Job Summary

The Insurance Verification Representative is responsible for verifying insurance coverage and benefits for scheduled procedures and services. This role ensures accuracy in patient records and assists in obtaining prior authorizations, if needed, to facilitate timely reimbursement. The Insurance Verification Representative works closely with clinical and administrative teams to provide a seamless patient experience.

Essential Functions

• Verifies patient insurance information, including eligibility, benefits, and coverage limitations.
• Reviews scheduled services and procedures to determine any necessary pre-certifications or authorizations.
• Coordinates with insurance providers to obtain required authorizations and verifies prior approvals.
• Communicates insurance requirements and benefit information to patients and answers any questions related to coverage.
• Accurately enters and updates insurance information in the patient’s medical record and billing systems.
• Identifies and resolves any insurance-related discrepancies or issues, working with other departments as necessary.
• Assists with resolving denied authorizations and facilitates appeals as required.