Insurance Verification Specialist

Genesis PrimeCare HR; Marshall (TX); On-site; USD 42,000 - 62,000; Full time

Benefits offered by this job

Competitive pay

Medical, dental, and vision insurance

PTO and holidays

403(b) Retirement savings plan

Incentive & merit compensation

Job summary

Genesis PrimeCare is seeking an Insurance Verification Specialist to support the health center's financial health and patient access. You will verify insurance coverage, confirm eligibility and network participation, and determine PCP designation before services.

You'll obtain prior authorizations, collaborate with clinical and billing teams to prevent denials, and document all actions in the EHR while assisting patients with coverage questions and PCP changes.

Qualifications

• High School Diploma or GED required.
• Two years insurance verification or medical billing experience preferred.
• Experience in FQHC or community health center preferred.

Responsibilities

• Verify patient insurance coverage, eligibility, benefits, and network participation.
• Coordinate with clinical and billing teams to obtain prior authorizations.
• Document verifications in the EHR and assist patients with coverage questions.
• Explain PCP designation changes and resolve insurance issues to prevent care delays.

Skills

Attention to detail

Communication skills

Customer service

Education

High School Diploma or GED

Associates degree or relevant certification

Tools

EHR systems

Job description

The Insurance Verification Specialist plays a vital role in supporting the financial health and operational efficiency of Genesis PrimeCare by ensuring accurate and timely verification of patient insurance coverage prior to services. This position is responsible for confirming eligibility, benefits, network participation, and designation of the health center as the patient’s primary care provider (PCP), while proactively addressing any discrepancies that could delay care or reimbursement.

The specialist obtains and tracks prior authorizations for procedures, medications, and referrals, coordinates closely with clinical and billing teams to prevent denials, and maintains accurate documentation within the electronic health record (EHR). This role also serves as a resource for patients by explaining coverage details, assisting with PCP changes, and helping resolve insurance-related issues to ensure uninterrupted access to care.

Working collaboratively with front desk, clinical, billing, and coding staff, the Insurance Verification Specialist helps maintain a seamless patient workflow and supports compliance with all federal, state, and organizational requirements. Strong communication, attention to detail, and customer service skills are essential to ensure patients receive high-quality, accessible care while safeguarding the health center’s revenue cycle.

Qualifications

Required:

• High School Diploma or GED

Preferred:

• Associates degree or relevant certification in healthcare administration, medical billing, or related field.
• Two years experience in insurance verification, medical billing, or a similar role in a healthcare setting, preferably in an FQHC or community health center.

At Genesis PrimeCare, we value our team members and offer a comprehensive benefits package, including:

• Competitive pay
• Medical, dental, and vision insurance
• Paid time off (PTO) and holidays
• 403(b) Retirement savings plan
• Incentive & merit compensation programs

Who We Are

• At Genesis PrimeCare, our mission is to positively impact the health and well-being of the communities we serve. As a non-profit, Federally Qualified Health Center (FQHC), we are committed to being the primary source for our patients' healthcare needs from birth through geriatric care.
• Our vision is to establish Genesis PrimeCare as both a healthcare provider and employer of choice, upholding our uncompromising values of professionalism, responsibility, and excellence in every service we provide. With a patient-centered focus, we strive to deliver quality, accessible care that truly makes a difference in the lives of those we serve.