Insurance Verification Specialist

Suvida Healthcare; Mesquite (TX); On-site; USD 32,000 - 42,000; Full time

Job summary

Suvida Healthcare is seeking an Insurance Verification Specialist (Greeter) to welcome patients and visitors and provide exceptional customer service at the front desk. You will verify benefits, answer calls, manage referrals and authorizations, and assist with scheduling transportation and EMR updates.

The role requires bilingual English/Spanish, 1+ year healthcare experience, 2+ years in customer service, and ability to work independently.

Qualifications

• 1+ years of healthcare industry experience.
• 2+ years of customer service experience.
• Bi-lingual English/Spanish required.
• Experience managing referrals and authorizations preferred.
• Experience in value-based care operations preferred.
• Experience documenting electronic medical records.
• Comfortable working independently.

Responsibilities

• Provides welcoming and orientation at clinic entry.
• Answers phone lines, takes messages, and conducts outbound calls.
• Verifies insurance benefits are active.
• Assists with scheduling transportation and appointments.
• Processes referrals and obtains authorizations.
• Updates patient information in the EMR.
• Collects co-pays as necessary.
• Supports other clerical tasks as assigned.

Skills

Healthcare industry experience

Customer service

Bilingual English/Spanish

Referrals & authorizations

Value-based care operations

EMR documentation

Independent worker

Education

High School Diploma

Bachelor's degree preferred

CPR/BLS certification preferred

Tools

EMR system

Job description

What You’ll Do

Position Summary

TheInsurance Verification Specialist (Greeter)will be an integral part of theSuvidaHealthcare team. TheInsurance VerificationSpecialistwillbe the first impression of the center to all patients, family members, and visitors. The Greeter will provide exceptional customer service and ensure all who visitSuvidaHealthcare 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, andassistingwith other clinical clerical tasks.

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
• Assistspatients to the seating area
• Assistspatients in wheelchair to the seating area
• Assistspatients 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
• Assistsin 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
• Bi-lingual-(English/Spanish)required
• 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

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

Suvida Healthcare provides equal employment opportunities to all Team Members and applicants for employment and prohibits discrimination and harassment of any typewithregard 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.