Insurance Verification Specialist

Austin Retina Associates; Austin (TX); On-site; USD 24,796 - 38,572; Full time

Job summary

Austin Retina Associates is seeking an Insurance Verification Specialist to verify, communicate and track insurance, ensuring patient and physician are aware of coverages prior to diagnosis and/or treatment.

This on-site role offers hourly pay with no travel and a daytime schedule; you will interact with billing, referrals and EMR/EHR systems while delivering excellent patient service.

Qualifications

• Experience in medical office, insurance or administration.
• Strong organizational skills with prioritization ability.
• Proficient with Google, Microsoft Office and Teams.
• Familiar with ophthalmology and retina terminology.
• Spanish language skills preferred.

Responsibilities

• Verify insurance for new patients and changes to confirm coverage.
• Assist with pre-authorization for inpatient treatments with insurance.
• Inform patients about subsidized or discounted coverage options.
• Verify required referrals by contacting physicians via phone, email, or fax.
• Update patient charts and document communications in EMR/EHR systems.
• Perform other administrative duties as needed.

Skills

Google Workspace

Microsoft Office

Microsoft Teams

Data management

Ophthalmology terminology

Organizational skills

Relationship building

Medical office administration

Insurance verification

Tools

AMD

MDI

Practice Plus

Job description

Insurance Verification Specialist

Position Summary

Austin Retina Associates is seeking a responsible, self‑motivated individual to assist in providing unparalleled patient satisfaction while verifying, communicating and tracking insurance.

Duties/Responsibilities

• Verify insurance for new patients, all insurance changes, review coverages, co‑pays, co‑insurance, and deductible information to ensure that both patient and physician are aware of coverages prior to diagnosis and/or beginning of treatment
• Assist with pre‑authorization of inpatient treatments with insurance companies to ensure treatments are covered, verifying and communicating co‑pays, co‑insurance, and deductible information
• Connect patients with subsidized or discounted coverage insurance options when eligible or available
• Verify required referrals by contacting referring physician offices via phone, email, or fax
• Communicate openly with co‑workers via phone, electronic messages, and by updating patient chart notes in real time
• Create records of documentation and communication with insurance companies and referring physicians. Will scan and input data into EMR/EHR systems including AMD, MDI and Practice Plus
• Other administrative duties as needed

Required Attributes

• Master multiple computer systems including Google, Microsoft Office, Teams, data management
• Will master ophthalmology and retina terminology
• Develop and maintain strong relationships with referring doctors, practices, and patients
• Strong organizational and follow through skills with competing demands and priorities
• Previous experience in medical office, insurance or administration

Preferred Attributes

• Demonstrated effectiveness showing courtesy, diligence, integrity, and teamwork in alignment with ARA core values
• Strong interpersonal skills including effective listening, clear communication, effective customer problem resolution with warm encouraging demeanor
• Ability to develop and maintain effective peer relationships at work within a fast‑paced, and at times a high‑stress environment
• Experienced with health insurance verification and physician referrals tracking
• Bilingual in Spanish for inbound/outbound calls

Position Details

• Schedule assigned by Supervisor, approximately 9-6 or 8-5 weekdays 8-5pm during weekdays
• No travel required
• Hourly pay, FLSA non‑exempt, eligible for overtime

Physical Demands and Requirements

Prolonged sitting, some standing and walking, talking and hearing both in person and by telephone; use hands to finger, handle and feel objects or controls; reach with hands and arms. Occasionally required to stoop, kneel, bend, crouch and lift up to 10 pounds on occasion. Specific vision abilities required by this job includes continuous use of a computer terminal, viewing multiple computer screens, close vision, distance vision, depth perception, color vision and the ability to adjust focus. Viewing images and operating computer devices constantly.