Insurance Verification Coordinator

Retina Consultants of Texas•San Antonio, TX

2d•Onsite

About The Position

Retina Consultants of Texas is seeking an Insurance Verification Coordinator to perform clerical functions for patient billing, including verifying insurance information and resolving problems to support a clean billing process. The position follows up on accounts requiring further evaluation and calls insurance carriers to obtain verbal verification, requiring strong phone communication and the ability to process verifications quickly and efficiently. The role reports to the San Antonio Spurs Lane Office and supports the Eligibility and Benefits Department Monday through Friday, 8:00 a.m. to 5:00 p.m. Schedules are provided weekly and depend on provider clinic, patient, and surgery schedules. The position works with patients, providers, front-office staff, reception, and insurance companies. It also requires maintaining confidentiality and following HIPAA guidelines and regulations.

Requirements

High school diploma or GED.
Minimum of 2 years of relevant experience and/or training, or an equivalent combination of education and experience; listed as preferred.
Proficiency with computers, relevant software applications, and practice management technology.
Knowledge of customer service principles and practices.
Strong knowledge of administrative and clerical procedures.
Strong problem-solving skills and sound judgment.
Ability to collaborate across departments and build effective relationships with internal and external customers.
Ability to achieve team goals while demonstrating organizational values and using resources responsibly.
Ability to be proactive and take initiative.
Attention to detail and ability to monitor the quality of work.
Strong organizational skills.
Excellent verbal and written communication and interpersonal communication skills.
Ability to work independently on assigned tasks and accept direction on assignments.
Ability to handle confidential information and issues with discretion and judgment.
Knowledge of general office tasks, confidentiality, filing, medical terminology, CPT coding, and the managed care referral process.
Knowledge of related OSHA and JCAHO guidelines and requirements.
Basic proficiency in MS Office (Word, Outlook) and EMR.
Ability to type, file, and use a multi-line telephone, computer, fax, copier, and adding machine.

Nice To Haves

Bilingual in Spanish and English.
Relevant experience and/or training, or an equivalent combination of education and experience.

Responsibilities

Verify medical insurance eligibility for upcoming appointments using online websites or by contacting carriers directly.
Review patient deductibles and/or copays and enter them into the billing system.
Assist front-office staff with verification questions or concerns.
Answer questions from patients, clerical staff, and insurance companies.
Work with reception to ensure clean billing.
Perform miscellaneous job-related duties as assigned.
Participate in educational activities and attend monthly staff meetings.
Maintain strict confidentiality and adhere to HIPAA guidelines and regulations.

Benefits

Medical, dental, and vision benefits.
Short-term disability.
Voluntary life insurance.
Accident, critical illness, and hospital indemnity coverage.
Pet insurance.
HSA pre-tax contributions and employer contributions.
401(k) retirement savings contributions with Roth and Traditional options starting on date of hire.
Long-term disability.
$25,000 basic life insurance policy.
3% 401(k) safe harbor contribution.
Annual performance merit increases.
Certification opportunities.
Rewards and recognition platform.
WellHub Starter Plan gym membership.
Paid time off.
Eight paid holidays and one floating holiday annually.