Radiology Insurance Verification Specialist

DHR Health; Edinburg (TX); On-site; USD 38,000 - 48,000; Full time

Job summary

DHR Health in Edinburg, TX seeks an Insurance Verifier to determine third-party insurance eligibility, financial status and registration suitability by reviewing insurance information. The role supports Radiology Admissions on a full-time daytime schedule.

The candidate should have a high school diploma or GED, at least one year of billing experience, and strong written and verbal English communication skills. Hospital experience and secretarial skills are preferred.

Qualifications

• High school diploma or GED required.
• One (1) year billing experience required.
• Experience in claims filing or hospital setting preferred.
• Good written and verbal communication skills required.
• Ability to read, write and speak English.

Responsibilities

• Promotes the facility mission, vision and values in services and practices.
• Determines hospital privileges of physician by checking active staff.
• Determines financial status and eligibility for registration by reviewing insurance information.
• Obtains patient demographic information, insurance type, diagnosis and procedure requested.
• Explains rates, charges, services and hospital policy regarding payment of bills.
• Communicates information about scheduled procedures to departments and staff.
• Obtains patient’s insurance details including benefit information, policy number and group.
• Obtains pre-certification when needed.
• Contact third party payers to verify coverage dates and network information.
• Ensures referral/pre-authorization requirements are met.
• Verifies and assigns insurance plan codes as needed.
• Documents patient information in accounting systems clearly and concisely.

Skills

Communication skills

English proficiency

Billing experience

Claims filing

Hospital experience

Education

High school diploma or GED

Tools

Microsoft Office

Job description

DHR Health in Edinburg, TX seeks an Insurance Verifier to determine third-party insurance eligibility, financial status and registration suitability by reviewing insurance information. The role supports Radiology Admissions on a full-time daytime schedule.

The candidate should have a high school diploma or GED, at least one year of billing experience, and strong written and verbal English communication skills. Hospital experience and secretarial skills are preferred.