Medical Office Pre-Cert Specialist

Desert Imaging Services; El Paso (TX); On-site; USD 32,000 - 45,000; Full time

Job summary

Desert Imaging Services in El Paso, TX seeks an Insurance Verification Specialist to confirm patient insurance coverage and pre-certifications prior to exams. You will document guarantor and patient details, and coordinate authorizations with third-party payers.

The role requires strong customer service, telephone etiquette, and accurate data entry. Prior medical office and billing experience are preferred, with a high school diploma or equivalent required.

Qualifications

• High School Diploma or equivalent.
• Minimum of one (1) year of customer service experience required.
• One (1) year experience working in a medical related office preferred.
• Experience and knowledge in handling telephones, computer terminals.

Responsibilities

• Verifies insurance coverage for patient exams and verifies pre-certification status with third party payers.
• Insures authorizations are processed prior to exams and maintains patient confidentiality.
• Documents guarantor information, patient information and protocols; assists in medical record reproduction as needed.
• Calculates patient fees, explains fees to patients, and sets up payment plans with supervisor approval.
• Works with physician offices to clarify orders, enter appropriate procedure codes, and ensure entries in the medical system.
• Identifies denials or issues with insurance and collaborates with billing to resolve them and prevent cancellations.

Skills

Customer service

Phone etiquette

Attention to detail

Data entry

Communication

Medical office experience

Education

High School Diploma or equivalent

Tools

EMR system

Billing software

Job description

Desert Imaging Services in El Paso, TX seeks an Insurance Verification Specialist to confirm patient insurance coverage and pre-certifications prior to exams. You will document guarantor and patient details, and coordinate authorizations with third-party payers.

The role requires strong customer service, telephone etiquette, and accurate data entry. Prior medical office and billing experience are preferred, with a high school diploma or equivalent required.