Insurance Verification Specialist

Stratton Rehabilitation; San Antonio (TX); On-site; USD 36,000 - 48,000; Full time

Job summary

Stratton Rehabilitation is seeking an Insurance Verification Specialist to ensure patients have valid coverage for services and to assist with related billing tasks.

The role requires strong communication skills, two years of healthcare admin experience, and proficiency with Microsoft Office; familiarity with billing software is a plus.

Qualifications

• Must have a high school diploma or equivalent.
• Minimum two years in insurance verifications or related healthcare admin role.
• Proficient with Microsoft Office; working knowledge of billing software preferred.
• Strong verbal and written communication skills are essential.

Responsibilities

• Verify patient insurance coverage for assigned providers.
• Explain coverages to patients and obtain authorizations as needed.
• Complete documentation required for billing processes.
• Stay updated on all accepted insurances and payer changes.
• Monitor clinic schedules for daily patient additions.

Skills

Multitask

Self-motivated

Communication

Microsoft Office

Billing software

Customer service

Problem analysis

Education

High school diploma or equivalency

Tools

Microsoft Office Suite

Billing software

Job description

Insurance Verification Specialist Overview:

Responsible for making sure patients have proper insurance coverage for the services provided by the clinic.

Insurance Verification Specialist Responsibilities and Duties:

• Verifying insurance coverage of each patient on their assigned providers
• Explaining coverages to patients
• Obtaining authorizations for patients when their insurance company requires one
• Filling out documentation required for billing
• Stay update on all accepting insurances
• Monitoring clinic schedules for daily patient additions

EDUCATION:

Must have a High School Diploma or equivalency.

EXPERIENCE:

• Two (2) years’ previous experience in insurance verifications or in a related healthcare administrative position

LICENSES/CERTIFICATIONS:

N/A

SKILLS:

Must have the following skills and/or abilities:

• Able to multitask, prioritize, and manage time efficiently
• Self-motivated and self-directed; able to work without supervision
• Excellent verbal and written communication skills
• Proficient computer skills, Microsoft Office Suite (Word, PowerPoint, Outlook, and Excel); working knowledge of billing software a plus
• Strong customer service skills and comfortable answering both patient and insurance company questions
• Able to analyze problems and strategize for better solutions

PHYSICAL ACTIVITIES:

• Constantly stands and sits within a given day while conducting work functions such as providing processing patient records, documenting, cleaning, and interacting with patients and coworkers.
• Constantly using of fingers and hands when typing, using a 10-key number pad, handling pens/pencils, forms/paper, telephone, tools, or other computer or office equipment.
• Frequently lifts, transfers, pushes, or pulls up to 15 lbs. of files, supply boxes, or other small office equipment.
• Hears average or normal conversations and receives ordinary information through verbal communications.
• Average, ordinary visual acuity necessary to utilize the computer or other office machinery, and to read or write instruction manuals or other documents.
• Frequently move about the office which may include climbing stairs, stopping, kneeling, and/or bending.

WORKING CONDITIONS:

Physical therapy office atmosphere located inside a building with no hazardous or significantly unpleasant conditions.

CONCEPTUAL/INTELLECTUAL ACTIVITIES AND OTHER REQUIREMENTS:

• Frequently convey detailed or important instructions or ideas accurately, clearly, and/or quickly.
• Understand, remember, follow, and exchange basic instructions, information, and guidelines.
• Project a courteous, professional and positive demeanor with co-workers.
• Dependable attendance and punctuality are necessary to perform the essential job duties.
• Ability to be professionally polite and helpful to a diverse clientele by presenting a pleasant, calm demeanor even in stressful situations.
• Ability to maintain self-discipline and focus on relevant matters in order to timely complete important tasks.
• Ability to read and comprehend simple instructions, short correspondence, and memos.
• Ability to write simple correspondence and respond clearly to coworkers and supervisors.