insurance verification specialist

Baylor Scott & White Health

<div><h4 class="jobSectionHeader"><b>About Us</b></h4><p>
Here at Baylor Scott &amp; White Health we promote the well-being of all individuals, families, and communities. Baylor Scott and White is the largest not-for-profit healthcare system in Texas that empowers you to live well.</p><p>
Our Core Values are:</p><ul><li>
We serve faithfully by doing what's right with a joyful heart.</li><li>
We never settle by constantly striving for better.</li><li>
We are in it together by supporting one another and those we serve.</li><li>
We make an impact by taking initiative and delivering exceptional experience.</li></ul><h4 class="jobSectionHeader"><b>
Benefits</b></h4><p>
Our benefits are designed to help you live well no matter where you are on your journey. For full details on coverage and eligibility, visit the Baylor Scott &amp; White Benefits Hub to explore our offerings, which may include:</p><ul><li>
Immediate eligibility for health and welfare benefits</li><li>
401(k) savings plan with dollar-for-dollar match up to 5%</li><li>
Tuition Reimbursement</li><li>
PTO accrual beginning Day 1</li></ul><p><i>
Note: Benefits may vary based upon position type and/or level.</i></p><h4 class="jobSectionHeader"><b>
Job Summary</b></h4><p>
The Insurance Verification Specialist 1, under general supervision, provides insurance benefit information to patients, physicians, and hospital staff. This position ensures timely insurance verification and financial clearance. This directly impacts the organization's reimbursement from payers for both scheduled and unscheduled patient accounts.</p><h4 class="jobSectionHeader"><b>
Essential Functions of the Role</b></h4><ul><li>
Perform financial clearance of patient accounts by verifying insurance eligibility and benefits. Ensure all notifications and authorizations are completed on time.</li><li>
Completes appropriate payor forms related to notification and authorization.</li><li>
Coordinates the submission of clinical documentation from physicians to payers for authorization needs.</li><li>
Calculates accurate patient financial responsibility.</li><li>
Communicates promptly with Utilization Review. Collaborates effectively with the physician and facility staff. Ensures financial clearance of the patient's account before any service during the hospital stay.</li><li>
Interprets complex payer coverage information, including network participation status, limited plan coverage, and inactive benefits.</li><li>
Documents systems according to the Insurance Verification guidelines to assure accurate and timely reimbursement.</li></ul><h4 class="jobSectionHeader"><b>
Key Success Factors</b></h4><ul><li>
1 year of healthcare or customer service experience preferred.</li><li>
Must have the ability to consistently meet performance standards of production, accuracy, completeness and quality.</li><li>
Ability to understand and adhere to payer guidelines by plan and service type.</li><li>
Requires good listening, interpersonal and communication skills, and professional, pleasant and respectful telephone etiquette.</li><li>
Maintain a professional demeanor in stressful and emotional environments. Handle behavioral health and suffering patients, including life or death situations.</li><li>
Must exhibit high empathy and communicate well with patients and families during traumatic events. Demonstrate exceptional customer service skills.</li><li>
Demonstrates ability to manage multiple, changing priorities in an effective and organized manner.</li><li>
Excellent data entry, numeric, typing and computer navigational skills. Basic computer skills and Microsoft Office.</li></ul><h4 class="jobSectionHeader"><b>
Belonging Statement</b></h4><p>
We believe that all people should feel welcomed, valued and supported.</p><p><b>
QUALIFICATIONS</b></p><ul><li>
EDUCATION - H.S. Diploma/GED Equivalent</li><li>
EXPERIENCE - Less than 1 Year of Experience</li></ul></div>

Insurance Verification Specialist

Blue Fish Pediatrics

<p>We are currently looking for a full-time (35-40 hrs/week) Insurance Verification Specialist. This person is responsible for verifying and recording up-to-date health insurance benefits for patients in our EMR software. This employee will be based at our Cypress office, which is located at 9530 Huffmeister Rd.</p><p>An ideal candidate for this position will possess the following qualities:</p><p>- Quick-learner</p><p>- Detail-oriented</p><p>- Accurate</p><p>- Types 50+ WPM</p><p>Previous experience in a similar role at a medical practice is preferred but not required. Working knowledge of eClinical Works is a plus</p><p>Please do not call our office directly as only those candidates who apply via Indeed will be considered.</p><p>Job Type: Full-time</p><p>Pay: $14.00 - $17.00 per hour</p><p>Benefits:</p><ul><li>401(k) matching</li><li>Dental insurance</li><li>Health insurance</li><li>Paid time off</li><li>Vision insurance</li></ul><p>Education:</p><ul><li>High school or equivalent (Required)</li></ul><p>Work Location: In person</p>

Paychex, Inc.

<div><p>POSITION SUMMARY</p>
<p>
The Insurance Benefit Specialist ensures all scheduled surgical cases have accurate, complete, and timely insurance verification, authorization, and financial documentation. This role directly supports clean claims, prevents denials, and ensures patients receive accurate financial estimates prior to their procedure. The Insurance Benefit Specialist may be cross-trained in other functions of the business office.</p>
<p>
Role and Responsibilities</p>
<ul>
<li>Verifies all insurance information including authorizations, benefits coverage and claims mailing address and meticulously documents all data into HIS.</li>
<li>Reviews and corrects all insurance information in the HIS. Including but not limited to any deductible, co-payment or patient payments that need to be collected at time of service.</li>
<li>Informs Pre-admissions clerks at center and patients, when applicable, of any deductible, co-payment or patient payments.</li>
<li>Works cooperatively with Scheduling Clerk and Pre-Admissions clerk for cancellations, additions and any changes to the schedule.</li>
<li>Informs Pre-Admissions clerk of insurance benefits for determination of any co-payments and or deductibles that need to be collected.</li>
<li>Communicates with any and every Adjuster, Nurse case manager and Benefits organizer for verifications and plan coverage.</li>
<li>Collaborates with Revenue Cycle Manager on a daily basis.</li>
<li>Works with Scheduling Clerk for accurate insurance information entry into the health information system.</li>
<li>Collaborates with Scheduling Clerk for Insurance Authorizations, claim numbers and adjusters.</li>
<li>Performs related work as required.</li>
<li>Will cross-train to other Business Office positions for back up as needed.</li>
<li>Reports directly to the Revenue Cycle Manager.</li>
<li>Performs other tasks as assigned by the Revenue Cycle Manager.</li>
<li>Must be willing to complete software training to keep up with advances in information technology.</li>
<li>Represents the company in a thoughtful and professional manner to customers, i.e. facility administrators, business office personnel, clinical personnel, physicians, patients and vendors.</li>
<li>Be familiar with the companies policy and procedures and HIPAA regulations.</li>
</ul>
<p>Work experience</p>
<ul>
<li>Minimum of two years&rsquo; experience with Insurance benefits in an <b>Ambulatory Surgery Center.</b>
</li><li><b>GI experience required</b></li>
<li>Experience using a medical software billing system. Must be familiar with Windows, Microsoft Office and ASC software.</li>
</ul>
<p>Education Requirements</p>
<ul><li>
High school graduate or equivalent.</li></ul>
<p>
Preferred Skills and knowledge</p>
<ul>
<li>Advantx or HST experience preferred.</li>
<li>Must be able to work under pressure.</li>
<li>Possesses excellent communication skills.</li>
<li>Competence in oral and written skills.</li>
<li>Ability to prioritize and complete tasks in a timely manner.</li>
<li>Must possess the ability to perform multiple tasks simultaneously.</li>
<li>Understanding of company products, services and customers.</li>
<li>General understanding of the healthcare environment.</li>
<li>Knowledge of alpha filing system.</li>
<li>Ability to follow oral and written instructions.</li>
<li>Ability to be cross-trained in other areas of the business office.</li>
<li>Working knowledge of Medicare, Medicaid, Worker&rsquo;s Compensation and Managed Care.</li>
<li>Working knowledge Out of Network billing.</li>
<li>Requires knowledge of medical terminology.</li>
<li>Basic knowledge of codes and modifiers.</li>
<li>Ability to access and utilize the Internet.</li>
<li>Requires exposure to automated insurance verification applications generally used within the healthcare industry.</li></ul></div>

Radiology Associates of Ocala

<div></div><div><p><b>Job Title:</b> Insurance Verifier<br>
<b>Location:</b> Ocala, FL (Onsite)<br>
<b>Company:</b> Radiology Associates of Ocala</p><h3 class="jobSectionHeader"><b>
About Us</b></h3><p>
Radiology Associates is the leading provider of patient care and medical imaging in East Central Florida. We offer high-quality imaging services using state-of-the-art technology in a comfortable, caring, and professional environment. Our team is committed to delivering an exceptional patient experience and maintaining a supportive, purpose-driven workplace culture.</p><p>
We are proud to be recognized as a <i>Breast Imaging Center of Excellence</i> by the American College of Radiology.</p><h3 class="jobSectionHeader"><b>
Why Join Radiology Associates?</b></h3><p>
When you join our team, you become part of an elite group of professionals dedicated to delivering the highest level of patient care. We value employee recognition, career advancement, diversity, and a collaborative work environment. We&rsquo;re looking for motivated individuals who are ready to grow with us.</p><h3 class="jobSectionHeader"><b>
Position Summary</b></h3><p>
As an <b>Insurance Verifier</b>, you will play a critical role in ensuring insurance pre-authorizations are in place for imaging exams prior to patient appointments. This position requires direct communication with referring providers and insurance companies and involves starting the authorization process when needed.</p><h3 class="jobSectionHeader"><b>
Key Responsibilities</b></h3><ul><li><p>
Verify that insurance pre-authorizations are in place and valid before the scheduled procedure</p></li><li><p>
Request missing or corrected authorizations from referring providers as necessary</p></li><li><p>
Initiate authorization process when required</p></li><li><p>
Deliver excellent customer service to patients, providers, and internal teams</p></li><li><p>
Communicate effectively and professionally via phone and email</p></li><li><p>
Work independently in a fast-paced, high-volume environment</p></li><li><p>
Perform additional duties as assigned</p></li></ul><h3 class="jobSectionHeader"><b>
Requirements</b></h3><p><b>
Education:</b></p><ul><li><p>
High school diploma or equivalent</p></li></ul><p><b>
Experience:</b></p><ul><li><p>
Minimum of 1 year of experience in medical insurance verification</p></li></ul><p><b>
Knowledge &amp; Skills:</b></p><ul><li><p>
Strong understanding of insurance plans and pre-authorization requirements</p></li><li><p>
Familiarity with radiology imaging modalities and medical terminology</p></li><li><p>
Proficiency in MS Office (Word, Excel, Outlook)</p></li><li><p>
Excellent phone etiquette and multitasking skills</p></li><li><p>
Strong time management and problem-solving abilities</p></li><li><p>
Reliable and highly organized</p></li></ul><p><b>
Abilities:</b></p><ul><li><p>
Effectively explain insurance procedures to patients</p></li><li><p>
Communicate clearly, both verbally and in writing</p></li><li><p>
Collaborate effectively with team members, patients, and providers</p></li><li><p>
Maintain a high level of attention to detail under pressure</p></li></ul><h3 class="jobSectionHeader"><b>
This Job Is Ideal for Someone Who Is</b></h3><ul><li><p>
Dependable and punctual</p></li><li><p>
Detail-oriented with a focus on accuracy</p></li><li><p>
Calm and focused under pressure</p></li><li><p>
Committed to delivering high-quality customer service</p></li></ul><h3 class="jobSectionHeader"><b>
Employee Benefits</b></h3><ul><li><p>
Paid Time Off</p></li><li><p>
Paid Holidays</p></li><li><p>
Affordable Medical, Dental, and Vision Plans</p></li><li><p>
Paid Life and AD&amp;D Insurance</p></li><li><p>
Employee Assistance Program (EAP)</p></li><li><p>
Employee Recognition Program</p></li><li><p>
Corporate Discounts</p></li><li><p>
401K Program</p></li><li><p>
Employee Referral Bonus Program</p></li></ul><h3 class="jobSectionHeader"><b>
Additional Information</b></h3><p>
Radiology Associates is an Equal Opportunity Employer and complies with all federal, state, and local anti-discrimination laws and regulations.</p><p>
We maintain a Drug-Free &amp; Tobacco-Free Workplace.</p><p>
This organization participates in E-Verify to confirm employment eligibility in the United States.</p></div><p></p>

INSURANCE VERIFICATION SPECIALIST

Mary Rutan Health

<div><p><b>Job Summary -
</b></p><p>Verifies patient insurance coverage for therapy services and effectively documents benefit information. Subject matter expert in completing the prior authorization process and pre-determination with insurance companies. Able to answer patient questions regarding financial obligations. Oversees charge reconciliation to ensure billing accuracy. Services on the internal denials team and actively researches causes/trends for therapy denials. Works closely with the billing office and coding team to adjust past claims related to coding issues. Reviews relevant data for each of the therapy departments and generates daily, weekly, and monthly reports. Assists with workflow management as it elates to scheduling/chart organization/insurance verification. Communicates effectively with office staff and therapists regarding insurance issues/concerns. Fills in for front office stations in the event of staff shortages.</p><p>
</p><p><b>Regulatory Requirements</b></p><ul><li>
High school graduate or equivalent.</li><li>
Prior experience in a medical setting is required.</li><li>
Experience with insurance preferred.</li></ul><p>
</p><p><b>Language Skills</b></p><ul><li>
Ability to communicate in English, both verbally and in writing.</li><li>
Additional languages preferred.</li><li>
Excellent interpersonal skills.</li></ul><p>
</p><p><b>Skills</b></p><ul><li>
Meditech experience is preferred.</li><li>
Excel spreadsheet/data analysis skills are required.</li><li>
Knowledge of medical terminology is preferred, especially ICD-10 and CPT codes.</li><li>
Ability to type 40 words per minute.</li></ul><p><b>
Qualifications</b></p><ul><li>
High school graduate or equivalent.</li><li>
Prior experience in a medical setting is required.</li><li>
Experience with insurance preferred.</li></ul><p><b>
Preferred Skills</b></p><ul><li>
Ability to communicate in English, both verbally and in writing.</li><li>
Additional languages preferred.</li><li>
Excellent interpersonal skills.</li><li>
Meditech experience is preferred.</li><li>
Excel spreadsheet/data analysis skills are required.</li><li>
Knowledge of medical terminology is preferred, especially ICD-10 and CPT codes.</li><li>
Ability to type 40 words per minute.</li></ul></div>

Town Center Foot & Ankle

<p>Town Center Foot &amp; Ankle is seeking a reliable and detail-oriented Insurance Verification Specialist to join our growing podiatry practice in Kingwood, TX. In this role, you will be responsible for verifying patients&rsquo; medical insurance benefits and ensuring accurate information is obtained prior to services.</p><p>The ideal candidate is organized, dedicated, and has strong communication skills. While previous experience in insurance verification or medical office settings is preferred, it is not required&mdash;we are willing to train the right candidate.</p><p>This is an excellent entry-level opportunity for someone looking to start a career in healthcare administration, with potential for growth and advancement within our practice.</p><p>Join our team and grow your career in a supportive and professional environment!</p><p><b>Key Qualities:</b></p><ul><li>Strong attention to detail</li><li>Excellent communication and organizational skills</li><li>Dependable and team-oriented attitude</li></ul><p><b>Responsibilities:</b></p><ul><li>Verifying eligibility and benefits by phone and online</li><li>Obtaining referrals and prior authorizations</li><li>Answering phones</li><li>Scheduling appointments</li></ul><p><b>Preferred Experience:</b></p><ul><li>Insurance verification (commercial and Medicare)</li><li>NextGen (MediTouch) EHR</li></ul><p><b>Benefits:</b></p><ul><li>4 day work week (Mon-Thurs)</li><li>401k with company matching</li><li>Paid Time Off</li></ul><p>Job Type: Full-time</p><p>Pay: $13.00 - $16.00 per hour</p><p>Benefits:</p><ul><li>401(k)</li><li>401(k) matching</li><li>Paid time off</li></ul><p>Application Question(s):</p><ul><li>Do you have experience verifying insurance?</li></ul><p>Work Location: In person</p>

Medical Insurance Verification Specialist

Premier Medical Resources

<div><div><b>Premier Medical Resources</b> is looking for an <b>Insurance Verification Specialist </b>to join our team!<br>
<br>
<b>**Remote opportunity after 30-90 day in-person training**</b></div>
<div></div><div>The Insurance Verification Specialist is responsible for verifying the patient's insurance coverage, ensuring surgery and procedures are covered by an individual&rsquo;s insurance plan. Creates cost estimates prior to the surgery date and communicates cost to patients. In addition to, entering and verifying accurate data and updating patient benefit information in the Electronic Medical Records (EMR).</div>
<div></div><div><b>ESSENTIAL FUNCTIONS:</b></div>
<ul><li>Assists front office with verification questions or concerns</li>
<li>Resolves any coverage issues and update patient EMR</li>
<li>Enters insurance coverage (co-payments, deductibles, etc.) accurately into patient EMR</li>
<li>Serves as a liaison between the patient, facility, physicians, and other departments to ensure timely and accurate financial clearance of all accounts</li>
<li>Verifies patient insurance coverage and benefits through online portals, phone calls, and other resources</li>
<li>Verifies insurance eligibility along with benefits and ensures all notifications and authorizations are completed by the surgery date</li>
<li>Identifies patient accounts based on self-pay, PPO, HMO, personal injury, workmen&rsquo;s compensation or other managed care organizations</li>
<li>Collects relevant data for eligibility and benefit verification including all ICD-10 and billable CPT codes per orders</li>
<li>Communicates with internal and external individuals to obtain information, resolve benefit issues, and ensure accurate benefit information is obtained</li>
<li>Responds to inquiries regarding patient accounts with appropriate and accurate information in a professional manner</li>
<li>Ensures accounts are financially secured by reviewing and documenting benefits, patient responsibilities, authorization requirements, and other relevant information</li>
<li>Creates financial arrangements, alongside management, when a patient is unable to complete payment</li>
<li>Responds promptly to requests and keeps open channels of communication with physician, patient, and service areas regarding financial clearance status and resolution</li>
<li>Collaborates with billing and coding departments to ensure correct processing of claims</li>
<li>Calculates co-pay, and estimated co-insurance due from patients per the individual payer contract per the individual payer contract and plan as applicable</li>
<li>Completes high-quality work while adhering to productivity standards</li>
<li>Performs miscellaneous job-related duties as assigned</li>
</ul>
<div></div><div><b>KNOWLEDGE, SKILLS, AND ABILITIES:</b></div>
<ul><li>Demonstrates ability to use basic computer functions, technology and Microsoft office (excel, word)</li>
<li>Broad knowledge of the content, intent, and application of HIPAA, federal and state regulations</li>
<li>Ability to work independently with little or no supervision as well as function within a team</li>
<li>Knowledge with in and out of network insurances, insurance verification, patient responsibility, and process for prior authorization</li>
<li>Good communication skills (verbal / written) providing a great patient experience</li>
<li>Ability to work effectively in a fact paced environment</li>
<li>Strong knowledge of managed care, medical terminology, CPT Coding and ICD10</li>
<li>Demonstrates use of appropriate modifiers, HIPAA regulations, and insurance verification procedures</li>
<li>Knowledge of payor guidelines including reading, understanding and interpreting medical records and payor requirements etc.</li>
<li>Ability to think critically, assess problems and provide problem resolutions</li>
<li>Demonstrates attention to detail, accountability, people skills, problem solving and decision-making skills</li>
</ul>
<div></div><div><b>EDUCATION AND EXPERIENCE:</b></div>
<ul><li>High School Diploma or GED</li>
<li>One (1) year of hospital revenue cycle experience</li>
<li>One (1) year of general customer service experience</li>
</ul>
<div></div><div><div><b>BENEFITS:</b></div>
<ul><li>3 Medical Plans</li>
<li>2 Dental Plans</li>
<li>2 Vision Plans</li>
<li>Employee Assistant Program</li>
<li>Short- and Long-Term Disability Insurance</li>
<li>Accidental Death &amp; Dismemberment Plan</li>
<li>401(k) with a 2-year vesting</li>
<li>PTO + Holidays</li>
</ul>
</div><div></div><div><div>Please visit our website for more information:</div>
<div>www.pmr-healthcare.com</div>
<div><br>
<b>Premier Medical Resources</b> is a healthcare management company headquartered in Northwest Houston, Texas. At Premier Medical Resources, our goal is to leverage and combine the expertise and skillset of our employees to drive quality in all we do. Our goal is to create career pathways for our employees just starting their professional career, and to those who seek to bring their expertise and leadership as we strive to combine best practices and industry excellence. Come join our team at Premier Medical Resources where passion and career meet.<br>
<br>
<b><i>Compensation to be determined by the education, experience, knowledge, skills, and abilities of the applicant, internal equity, and alignment with market data. Employment for this position is contingent upon the successful completion of a background check and drug screening.</i></b></div></div></div>

Insurance Verification Specialist (Clinic)

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Insurance Verification Specialist (Clinic)