Insurance Verification Specialist

STRATTON REHABILITATION CLINIC; San Antonio (TX); On-site; USD 36,000 - 48,000; Full time

Job summary

STRATTON REHABILITATION CLINIC is seeking an Insurance Verification Specialist to ensure patients have proper coverage for clinic services. You will verify coverage for patients, explain benefits, and obtain necessary authorizations as required by insurers.

The role includes updating patient records and assisting with billing documentation in a fast-paced rehab setting. The ideal candidate has at least two years in insurance verifications or healthcare admin, excellent communication skills, and

Qualifications

• Must have a High School Diploma or equivalency.
• Two (2) years’ previous experience in insurance verifications or in a related healthcare administrative position

Responsibilities

• Verify insurance coverage for patients on assigned providers.
• Explain coverages to patients and obtain authorizations when required.
• Update patient information and billing documentation.
• Stay updated on all accepted insurances and monitor daily clinic schedules.

Skills

Multitasking

Self-motivation

Communication

MS Office

Billing software

Customer service

Problem solving

Education

High School Diploma or equivalent

Tools

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
• Updating patient information/keeping records
• 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.