Insurance Verification Specialist

Neville Foot & Ankle Centers; Conroe (TX); On-site; USD 40,000 - 54,000; Full time

Benefits offered by this job

Flexible schedule

Health insurance

Opportunity for advancement

Bonus based on performance

Job summary

Neville Foot & Ankle Centers is seeking an Experienced Insurance Verification Specialist to verify insurance coverage for new patients and referrals, update information, and obtain pre-authorizations. You will explain financial responsibilities to patients and ensure HIPAA-compliant handling of data.

The role requires strong phone communication, detail orientation, and knowledge of insurance systems. Eclinical and Availity experience are a plus, with opportunities for advancement.

Qualifications

• High school diploma or GED required.
• Knowledge of CPT codes and basic medical terminology preferred.

Responsibilities

• Verify patient insurance coverage and benefits prior to appointments or procedures.
• Communicate with insurance companies to obtain authorizations and clarify coverage details.
• Maintain accurate records of insurance verifications in the medical office system.
• Assist patients in understanding out-of-pocket costs and financial responsibilities.

Skills

Phone communication

Bilingual English/Spanish

HIPAA awareness

Education

High school diploma or GED

Tools

Availity

Eclinical

Job description

Benefits:

• Flexible schedule
• Health insurance
• Opportunity for advancement
• Bonus based on performance

Neville Foot and Ankle Centers is currently seeking an Experienced Insurance Verification Specialist. In this role, you will verify insurance coverage for new patients and referrals, as well as update information for existing patients. Your duties will also involve calling to obtain pre-authorization for services, which requires strong phone communication skills. After verifying coverage, you will help patients understand what their financial responsibilities will be.

Duties And Responsibilities

• Eclinical work a PLUS
• Availity a PLUS
• The Insurance Verification Specialist plays a crucial role in the healthcare process by ensuring that patients' insurance information is accurately verified and processed
• This position requires a detail-oriented individual who can navigate complex insurance systems and communicate effectively with both patients and healthcare providers
• The specialist will be responsible for confirming coverage, understanding managed care plans, and ensuring compliance with HIPAA regulations
• Verify patient insurance coverage and benefits prior to appointments or procedures
• Communicate with insurance companies to obtain necessary authorizations and clarify coverage details
• Maintain accurate records of insurance verifications and updates in the medical office system
• Collaborate with medical coding staff to ensure correct coding of services in accordance with ICD-9 standards
• Assist patients in understanding their insurance benefits and any out-of-pocket costs associated with their care
• Ensure compliance with HIPAA regulations regarding patient information confidentiality
• Provide support to the billing department by resolving discrepancies related to insurance claims
• Stay updated on changes in medical terminology, coding practices, and insurance policies

Requirements and Qualifications

• High school diploma or GED certificate

Knowledge of CPT codes and basic medical terminology (preferred)

• Phone communication skills
• Bilingual ability (English/Spanish) a preferred