Insurance Verification Specialist, Sr

UT Health San Antonio; San Antonio (TX); On-site; USD 52,000 - 64,000; Full time

Job summary

UT Health San Antonio is seeking an Insurance Verification Specialist - Senior to verify insurance eligibility, correct patient demographics, and obtain referrals as needed. The role may involve mentoring newer team members and supporting leadership on projects.

Responsibilities include training support, coordinating referrals, and utilizing multiple tools to ensure accurate benefits information for patients. This position requires healthcare billing knowledge and strong attention to detail.

Qualifications

• Knowledge of patient billing or collection/reimbursement procedures in a healthcare setting.
• Detail oriented with the ability to organize, prioritize and coordiante work within schedule constraints and handle emergent requirements in a timely manner.
• Able to multi-task in a fast-paced, high-volume environment.
• Proficient in Microsoft Office.
• Medical healthcare records software experience.

Responsibilities

• Assist with training for new hires.
• Review new and follow up patient registrations, obtain and manage referrals, advise on co-pays and deductibles.
• Contact PCP and/or Clinic to coordinate and obtain accurate and current referral documentation.
• Navigate between multiple verification tools to obtain thorough eligibility and benefits material.
• Assist in developing departmental processes.
• Provide support and assist leadership on specific projects.
• Coordinate with UHS Financial team to clear patients, obtain referrals and authorizations as needed for Pre and Post, Transplant patients and Subspecialties.
• Complete all other duties as assigned.

Skills

Attention to detail

Multi-tasking

Microsoft Office

Billing knowledge

Time management

Education

High School Diploma or GED

Tools

Microsoft Office

Medical records software

Job description

Job Description

The Insurance Verification Specialist - Senior completes insurance verification duties to obtain primary insurance data to determine patients' eligibility for visits by verifying insurance, correcting patient demographics, and obtaining referrals as needed. May mentor newer team members.

Job Description

The Insurance Verification Specialist - Senior completes insurance verification duties to obtain primary insurance data to determine patients' eligibility for visits by verifying insurance, correcting patient demographics, and obtaining referrals as needed. May mentor newer team members.

Responsibilities

• Responsible for assisting with training for new hires.
• Review new and follow up patient registration, obtain and manage referrals, advise on co-pays and deductibles.
• Contacts PCP and/or Clinic to coordinate and obtain accurate and current referral documentation, once confirming patients have established care.
• Effectively navigates between multiple verification tools to obtain thorough eligibility and benefits material.
• Assists in developing departmental processes.
• Provide support and assists leadership on specific projects.
• Coordinate with UHS Financial team clearing patients obtaining referrals and Authorizations as needed for Pre and Post, Transplant patients and Subspecialties.
• Completes all other duties as assigned.

Qualifications

• Knowledge of patient billing or collection/reimbursement procedures in a healthcare setting.
• Detail oriented with the ability to organize, prioritize and coordiante work within schedule constraints and handle emergent requirements in a tiemly manner.
• Able to multi-task in a fast-paced, high-volume environment.
• Proficient in Microsoft Office.
• Medical healthcare records software experience.

Education

High School Diploma or GED

Required Skills

Four (4) years of medical experience in the healthcare industry, emphasizing medical claims and Health Insurance. Hospital experience preferred.

About Us

The University of Texas at San Antonio (UT San Antonio) is a nationally recognized, top-tier public research university that unites the power of higher education, biomedical discovery and healthcare within one visionary institution. As the third-largest research university in Texas and a Carnegie R1-designated institution, UT San Antonio is a model of access and excellence - advancing knowledge, social mobility and public health across South Texas and beyond. UT San Antonio serves approximately 42,000 students in 320 academic programs spanning science, engineering, medicine, health, liberal arts, AI, cybersecurity, business, education and more. With 17,000 faculty and staff, UT San Antonio has been recognized by Forbes as one of America's Best Employers for Company Culture.

Benefits Overview

UT Health San Antonio offers an excellent benefits package for its employees. Employees who work at least 20 hours a week, with an appointment of at least 4.5 months, are eligible for benefits.

Medical

UT SELECT Medical insurance is offered free for employees and administered by Blue Cross and Blue Shield of Texas. Family members can be added to the plan through payroll deduction. Employees and their dependents can also receive discounted copays and coinsurance when using UT Health Physicians, a network of 800 premier physicians including more than 100 specialists. Employees receive $50,000 of group term life insurance and $50,000 of basic accidental death and dismemberment insurance for free, with options to purchase additional employee and dependent coverage for both at group rates.

Dental

Three dental insurance plan options are available for employees and their families through Delta Dental Insurance Company, two PPOs and one dental HMO plan. Both PPO plans allow employees to choose any licensed dentist.

Vision

Fully insured Vision Care benefits are offered by Superior Vision Services. Two vision plan options that offer either standard or enhanced vision benefits.

Disability

Employees can enroll in the Disability Insurance which provides income if a non-work related illness or injury prevents you from working.

FSAs

Employees can enroll in flexible spending accounts (FSAs) to set aside money from earnings before taxes for qualifying dependent day care expenses or out-of-pocket health care expenses.

Retirement

Employees are eligible for either the Teacher Retirement System (TRS) or the Optional Retirement Plan (ORP). TRS is a defined benefit retirement plan which UT Health matches employee contributions. ORP is for eligible faculty staff employees. Voluntary retirement programs are also available to invest before- or after-tax dollars with the choice of five quality retirement plan providers.

Time Off

A generous leave program offers multiple paid leave options:

• Front-loaded Paid Time Off: 128 to 208 hours (16 to 26 days) of Paid Time Off based on years of service, given at the start of each fiscal year. PTO may be prorated in year one based on date of hire.
• Extended Illness Bank: 8 hours (1 day) accrued per month which can be used for illness or injury after one day of Paid Time Off is taken.
• Paid Family Leave: Up to 240 hours (6 weeks) to care for a spouse, child, or parent after 6 months of consecutive employment.
• Holidays: 12 set paid holidays each year.

Discounts

Employees enjoy a range of discounts on services, tickets, and gym membership.

EEO Statement

UT Health San Antonio is an equal employment opportunity and affirmative action employer. It is our policy to promote and ensure equal employment opportunity for all individuals without regard to race, color, religion, sex, gender identity, national origin, age, sexual orientation, disability, or veteran status.