Insurance Eligibility & Registration Specialist

Living Water Clinic•Lindsay, CA

16h

About The Position

We are seeking a detail-oriented Insurance Eligibility & Registration Specialist to join our administrative support team. This position plays a vital role in ensuring all patient demographic and insurance information is accurate and verified prior to the date of service. The role helps reduce registration errors, prevent claim denials, and improve the overall patient financial experience. Unlike front desk receptionists, this is a non–patient-facing position focused on back-office accuracy, verification, and communication with staff rather than direct in-person patient interaction.

Requirements

High School Diploma or equivalent required.
Minimum of one (1) year of experience in a medical office, billing, or insurance verification role preferred.
Experience with EHR systems and insurance verification tools strongly preferred.
Working knowledge of Medi-Cal, Medicare, commercial insurance, and managed care plans.
Strong attention to detail and accuracy.
Excellent written and verbal communication skills.
Ability to work independently and manage multiple priorities in a fast-paced environment.
Team-oriented mindset with strong problem-solving abilities.
Proficiency in Microsoft Office and EHR software.

Nice To Haves

Bilingual proficiency in English and Spanish preferred.

Responsibilities

Verify patient insurance eligibility and benefits for all scheduled appointments using payer portals, clearinghouse tools, or direct contact with insurance carriers.
Confirm and update patient demographic and insurance information in the electronic health record (EHR).
Identify and resolve missing or inaccurate information before the date of service to prevent billing delays or claim denials.
Communicate eligibility findings, insurance terminations, and coordination of benefits issues promptly to front office and registration staff.
Maintain accurate documentation of verification activities, benefit details, and communication in patient accounts.
Provide back-office registration support by preloading or correcting insurance and demographic data for upcoming visits.
Coordinate with the billing department to resolve eligibility-related claim rejections.
Respond to internal messages and phone calls related to insurance verification and registration inquiries.
Maintain up-to-date knowledge of payer requirements, Medi-Cal, Medicare, commercial insurance, and managed care plans.
Uphold patient confidentiality and ensure compliance with HIPAA regulations.
Participate in staff training, process improvement projects, and audit reviews as assigned, and perform other duties as needed or requested by management.