Insurance Verification Specialist

Genesis PrimeCare HR

Marshall (TX)

On-site

USD 35,000 - 50,000

Full time

6 days ago
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Benefits offered by this job

Competitive pay
Medical insurance
Dental insurance
Vision insurance
Paid time off
403(b) Retirement savings plan
Incentive compensation programs

Job summary

The Insurance Verification Specialist at Genesis PrimeCare plays a crucial role in ensuring financial health by verifying patient insurance coverage before services. This position includes confirming eligibility and maintaining documentation, while addressing discrepancies that could delay care.

The role also involves working closely with front desk and clinical staff to streamline workflows and ensure compliance with healthcare requirements.

Qualifications

  • Strong communication skills to explain coverage details to patients.
  • Attention to detail to ensure accurate verification of patient insurance coverage.
  • Two years of experience in insurance verification or medical billing preferred.

Responsibilities

  • Verify patient insurance coverage prior to services.
  • Track prior authorizations for procedures and medications.
  • Coordinate with clinical and billing teams to prevent denials.

Skills

Communication skills
Attention to detail
Customer service

Education

High School Diploma or GED
Associates degree or relevant certification in healthcare administration

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.

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
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.
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.
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