Insurance Verification Specialist

Suvida Healthcare LLC; Houston (TX); On-site; USD 42,000 - 62,000; Full time

Job summary

Suvida Healthcare LLC in Houston, Texas is seeking an Insurance Verification Specialist (Greeter) who will be the first impression of the center. You will provide exceptional customer service, verify benefits, handle calls, and assist with other clinical clerical tasks as part of the front desk team.

The role requires at least 1 year in healthcare and 2+ years in customer service, with independent work skills and EMR familiarity.

Qualifications

• 1+ years progressive work experience in the healthcare industry.
• 2+ years of customer service.
• Experience managing referrals and authorizations preferred.
• Experience in Value-based care operations preferred.
• Experience documenting electronic medical records.
• Comfortable working independently.

Responsibilities

• Ensures the highest level of customer service possible.
• Displays respect and concern for all patients.
• Attends all clinic huddles and clinic monthly meetings.
• Greets and Welcomes patients to the clinic.
• Assists patients to the seating area.
• Assists patients in wheelchair to the seating area.
• Assists patients with scheduling transportation to and from the clinic.
• Ensures all insurance benefits are verified and active.
• Collects any co-pays necessary for patient’s visit.
• Manages phone lines by answering, taking messages, and conducting outbound calls as instructed.
• Manages patient referrals by processing them and obtaining authorizations.
• Assists in scheduling appointments for patient’s referrals.
• Updates patient information and making changes to EMR platform.
• Other Duties as assigned.

Skills

Customer service

Healthcare industry

EMR documentation

Independent work

Referrals & authorizations

Phone etiquette

Education

High School Diploma or equivalent

Bachelor's in Healthcare Administration, Business, or Hospitality preferred

Job description

Insurance Verification Specialist

Suvida Healthcare LLC Houston, Texas, United States

About this position

At Suvida Healthcare, we realize it takes a community of shared values and purpose to achieve a mission and purpose as meaningful as improving lives. We are a multi-disciplinary primary care program built to address the physical, behavioral, social, and cultural needs of an underserved Medicare-eligible Hispanic senior population. Our mission is to improve the quality of life for Hispanic seniors and those who care for them in neighborhoods across America.

We are cultivating an empathetic and service-centered culture that attracts, engages, values, and rewards talented individuals with shared interests and values positioning us not only as a best-in-class healthcare provider but also as an employer of choice! Will you join us on this mission?

What Makes Us Unique

We are an empowered primary care, clinical operations, and support teams creating health equity through an exceptional clinical and consumer experience that improves the quality of life for the people, families, and neighborhoods we serve. We tailor our primary care program to the culture, language, social, and overall wellbeing of the seniors we serve.

How We Work

• Earn Trust
• Building Relationships
• Creating Joy
• Doing Right
• Improving Every Day
• Moving Forward

What You’ll Do - Job Responsibilities

Position Summary

The Insurance Verification Specialist (Greeter) will be an integral part of the Suvida Healthcare team. The Insurance Verification Specialist will be the first impression of the center to all patients, family members, and visitors. The Greeter will provide exceptional customer service and ensure all who visit Suvida Healthcare centers are welcomed and properly attended to. The Insurance Verification Specialist will work with the center team by answering questions, managing incoming and outgoing calls, ensuring all benefits are verified, and assisting with other clinical clerical tasks. Essential responsibilities consist of but are not all inclusive:

Responsibilities

• Ensures the highest level of customer service possible
• Displays respect and concern for all patients
• Attends all clinic huddles and clinic monthly meetings
• Greets and Welcomes patients to the clinic
• Assists patients to the seating area
• Assists patients in wheelchair to the seating area
• Assists patients with scheduling transportation to and from the clinic
• Ensures all insurance benefits are verified and active
• Collects any co-pays necessary for patient’s visit
• Manages phone lines by answering, taking messages, and conducting outbound calls as instructed
• Manages patient referrals by processing them and obtaining authorizations
• Assists in scheduling appointments for patient’s referrals
• Updates patient information and making changes to EMR platform
• Other Duties as assigned

What You’ll Bring

Knowledge, Skills, and Abilities

• 1+ years progressive work experience in the healthcare industry
• 2+ years of customer service
• Experience managing referrals and authorizations preferred
• Experience in Value-based care operations preferred
• Experience documenting electronic medical records
• Comfortable working independently

Education, Experience, Licensure, or Certification Requirements

• CPR/BLS Certified (or willing to obtain within 7 days of employment)
• High School Diploma or equivalent required
• Bachelor’s in healthcare administration, Business, or Hospitality preferred

Equal Employment Opportunity (EEO) Policy

Suvida Healthcare provides equal employment opportunities to all Team Members and applicants for employment and prohibits discrimination and harassment of any type with regard to race, color, religion, age, sex, national origin, disability status, genetics, protected veteran status, sexual orientation, gender identity or expression, or any other characteristic protected by federal, state or local laws.

This policy applies to all terms and conditions of employment, including recruiting, hiring, placement, promotion, termination, layoff, recall, transfer, leaves of absence, compensation and training.