Insurance Verification Specialist II (31081)

GI Alliance; San Antonio (TX); On-site; USD 32,000 - 52,000; Full time

Job summary

GI Alliance in San Antonio, TX is seeking an Insurance Verification Clerk to verify patient insurance and explain financial responsibilities before office appointments and procedures.

The role involves pre-verification of treatment, communicating coverage details to patients, and entering benefits in the EMR. Onsite work at the Datapoint/San Antonio facility, with a focus on accuracy, customer service, and teamwork.

Qualifications

• High school diploma or equivalent.
• 2–4 years of insurance verification experience preferred.
• Understanding of medical terminology and CPT and ICD10 coding.
• Excellent communication skills, both written and verbal.
• Proficient technical (computer) skills.
• Ability to multi-task and prioritize.
• Self-motivated with initiative.
• Strong sense of ethics.

Responsibilities

• Pre-verify patients for physician consultations and procedures.
• Determine if GI Alliance accepts the patient’s insurance.
• Explain financial responsibilities to patients (co-pay, deductible, etc.).
• Verify patient insurance by phone, fax, and web.
• Enter benefits data for patients in EMR.
• Refer complex issues to the supervisor for review and action.
• Provide quality service to patients.
• Work on insurance billing projects, as assigned.
• Perform other duties as assigned

Skills

Communication skills

Computer literacy

Multitasking

Ethical conduct

Medical terminology

CPT/ICD-10 coding

Teamwork

Education

High school diploma or equivalent

Tools

EMR system

Job description

Position purpose

Verify patient insurance and co-payments prior to office appointments and procedures.

Responsibilities

Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions.

• Pre-verify patients seeing treatment for physician consultations and procedures.
• Using various documents, determine if GI Alliance accepts the patient’s insurance.
• Effectively communicate to patients, their financial responsibility (co-pay, deductible expenses etc.) based on their insurance coverage.
• Verify patient insurance by means of phone, fax, and web.
• Enter benefits data for patients accurately in EMR.
• Refer complex issues to the supervisor for review and or action.
• Provide quality service to patients.
• Work on insurance billing projects, as assigned.
• Perform other duties as assigned

This position is onsite at TDDC GCSA Datapoint San Antonio - San Antonio - TX - USA.

Qualifications

Education: High school diploma or equivalent.

Experience: Two (2) to four (4) years of insurance verification experience preferred.

Requirements for Level II Status

• Intermediate experience (4+ years’ experience) and/or acting more independently,
• Takes on some additional duties to assist the office.
• Strong and consistent performer.

Additional Qualifications

• Understanding of medical terminology and CPT and ICD10 Coding
• Critical thinking

Performance Requirements

• Excellent communication skills, both written and verbal.
• Proficient technical (computer) skills.
• Ability to multi-task and prioritize.
• Self-motivated with initiative.
• Strong sense of ethics.