Insurance Verification Specialist

Collin County Mental Health Retardation Center; McKinney (TX); On-site; USD 24,000 - 29,000; Full time

Job summary

Collin County Mental Health Retardation Center in McKinney, TX, seeks an Insurance Verification Clerk to ensure accurate benefit verification and data entry for medical records. The role involves communicating benefits, handling billing components, and supporting scheduling for prescribers in a fast-paced environment.

Ideal candidates have a high school diploma and at least 3 years of experience in a medical office with knowledge of Medicaid/Medicare/private insurance billing, plus strong MS

Qualifications

• High School Diploma or GED required.
• 3+ years experience in medical office with scheduling, insurance verification, billing & collections.
• Familiar with Medicaid, Medicare, and private insurance billing.

Responsibilities

• Verify insurance benefits and call individuals to discuss benefits.
• Enter insurance information into medical records and ensure all financial components are updated.
• Perform regular insurance verifications as needed.
• Serve as back up for other support staff as needed.
• Review Open Access process for patients not currently receiving services.
• Verify current insurance on file and check for balances due.
• Promote trauma-informed care practices.

Skills

MS Word

Excel

Customer service

Data entry

Insurance billing

Medicaid billing

Education

High School Diploma or GED

Tools

Billing software

Scheduling software

Job description

Job Details: Job Location: McKinney, TX 75069, Education Level: High School, Salary Range: $17.31 - $21.15 Hourly, This role is a key team-player position in a constantly busy environment that requires accuracy, attention to details, initiative and a pro-active approach to duties and responsibilities while working with individuals in service, clinical team and co-workers. The qualified applicant must demonstrate a positive attitude, considerable latitude for independent judgment, professional ethics, appearance and conduct.

Primary Duties

• Receive Insurance Verification Form
• Verify Insurance Benefits and call the individual to go over benefits.
• Enter all insurance information into the medical record and ensure all financial components are in place after the initial financial and all financial updates are submitted for review.
• Regular insurance verification as needed.
• Serve as back up for other support staff as needed.

Additionally

• Call the individual to go over benefits and if they are not currently receiving services at LPC, review the Open Access process.
• Complete log of all Verifications
• Schedule Prep for Prescribers
• Verify Current Insurance on file.
• Check for any balance(s) due.
• Verify that client has current UA and TP.
• Acts as a responsible member of the team. Works cooperatively with individuals and staff to meet the needs of individuals while following agency procedures.
• Understands and promotes trauma informed care practices.

If Bilingual and receiving stipend, employee will be available to translate for other staff as needed and will utilize approved language in the provision of services as needed.

This position requires reasonable flexibility to meet the needs of the community and the individuals and families we serve. Employees may be required to work outside of their typical schedule, including occasional evening hours, when necessary to accommodate family availability.

Education, Training and Experience (including licensure and certification)

• High School Diploma or general education degree (GED)
• Three (3) years' experience working in a medical office, agency, or hospital with knowledge of scheduling, insurance verification, billing & collections (especially Medicaid, Medicare, & Private Insurance), data entry, and general office management experience in general office duties.

Knowledge, Skills and Abilities

• Knowledge and experience in performing medical office duties.
• Must be knowledgeable in computer programs such as MSWord and Excel.
• Must be professional and knowledgeable of customer service skills.
• Must be knowledgeable of Medicaid, Medicare, and Private Insurance billing practices.