Benefit Verification Specialist

Crane Center•West Lake Hills, TX

6h•Hybrid

About The Position

The Benefit Verification Specialist verifies patients’ medical insurance coverage and benefits and supports accurate, timely processing of insurance claims. The role involves communicating with insurance companies, healthcare providers, and patients about policies, co-pays, deductibles, and coverage limits, and coordinating the documentation needed for insurance claims. The specialist updates patient and insurance information in an electronic medical records system and responds to patients’ insurance-related questions and concerns. This is a full-time, hybrid position based in West Lake Hills, Texas, with an expected schedule of 40 hours per week, Monday through Friday.

Requirements

High school diploma or equivalent.
Proven experience in medical benefit verification or medical billing.
Strong understanding of medical insurance terminology, policies, and procedures.
Proficiency with electronic medical records systems and insurance verification software.
Excellent attention to detail and strong organizational skills.
Strong communication and interpersonal skills.
Ability to work efficiently in a fast-paced environment and meet deadlines.
Ability to commute to West Lake Hills, TX 78746.

Nice To Haves

Knowledge of medical coding systems such as CPT and ICD-10.
One year of insurance verification experience is preferred.

Responsibilities

Verify patients’ insurance coverage and benefits for medical treatments and services.
Communicate with insurance companies, healthcare providers, and patients regarding insurance policies, co-pays, deductibles, and coverage limits.
Obtain and coordinate the documentation required for insurance claims.
Update patient information and insurance details in the electronic medical records system.
Provide customer service by addressing patients’ insurance-related inquiries and concerns.
Perform other duties as applicable.