Insurance Verification Specialist at Diabetes & Glandular Disease Clinic, P.A.

San Antonio, Texas, United States -

Full Time

Start Date

Immediate

Expiry Date

02 Aug, 26

Salary

0.0

Posted On

04 May, 26

Experience

0 year(s) or above

Remote Job

Yes

Telecommute

Yes

Sponsor Visa

Skills

Insurance Verification, Patient Billing, HIPAA Compliance, Medical Terminology, Insurance Eligibility, Customer Service, Data Collection, Medical Records Management, Bilingual English/Spanish, Organizational Skills, Verbal Communication, Written Communication

Industry

Medical Practices

Description

POSITION SUMMARY: The Insurance verification specialist performs clerical functions for patient billing, including verification of insurance information and resolution of problems to ensure a clean billing process. Follows up on accounts that require further evaluation. Works with others in a team environment ESSENTIAL DUTIES: * Maintains patient demographic information and data collection systems. * Verify insurance eligibility for medical insurance for upcoming appointments by utilizing online websites or by contacting the carriers directly. * Receiving, cataloging, and tracking progress of verification requests received. * Recognize insurance verifications that need to be transferred to referrals for authorizations. * Coordinate with front end regarding scheduling errors. * Assist front end staff and call center staff in understanding carrier websites and verification of eligibility. * Evaluate insurance for need of a referral. * Answer questions from patients, clerical staff, and insurance companies. * Works in conjunction with the front office staff to ensure clean billing. * Participates in trainings and attends staff meetings. * Maintains strict confidentiality; adheres to all HIPAA guidelines/regulations. * Other duties as assigned. POSITION REQUIREMENTS: A. KNOWLEDGE, SKILLS AND ABILITIES: * Must have thorough knowledge of all insurance procedures to include, but not limited to, registration requirements, collection of co-pays, co-insurances, deductibles, and allowable procedures and charges HPPA laws and regulations. * Must have knowledge of maintaining health care records. * Must be computer literate experience preferred. * Must be able to deal with all patients or visitors regardless of their temperament with proper decorum. * Must have excellent organizational skills. * Bilingual (English/Spanish) desired. * Must know medical terminology. * Must have excellent verbal and written communication skills. * Must possess excellent customer service skills. QUALIFICATIONS: B. EDUCATION, EXPERIENCE AND SKILLS REQUIRED: * High School Diploma or equivalent * Minimum of 1-2 years’ experience in administrative medical office setting

Responsibilities

The specialist performs clerical functions for patient billing, focusing on insurance verification and problem resolution to ensure clean billing. They coordinate with front-end staff and carriers to manage eligibility and authorizations.