Insurance Verification Coordinator

Retina Consultants of Texas • Houston, TX

5h • Onsite

About The Position

Retina Consultants of Texas (RCTX) is seeking an Insurance Verification Coordinator to join their team. This role is responsible for performing clerical functions for patient billing, including verifying insurance information and resolving issues to ensure a clean billing process. The position involves following up on accounts requiring further evaluation and making calls to obtain verbal insurance verification, requiring strong phone communication skills. Candidates must be able to work quickly and efficiently to process verifications in a timely manner and meet the needs of patients and providers. The role supports the Eligibility and Benefits Department hours, Monday through Friday, 8:00 am - 5:00 pm, with schedules provided weekly based on provider clinic, patient, and surgery schedules. RCTX is the largest and most respected retina-only ophthalmology practice in the United States, with 26 physicians, serving two major metropolitan markets, and investing in state-of-the-art diagnostic equipment. The company emphasizes a culture of 'Retina Warriors' with core values of Hard Work, Authentic Care, and Innovation, believing in investing in people to empower them to provide the highest quality patient experience.

Requirements

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

Nice To Haves

• Bilingual in Spanish / English preferred.

Responsibilities

• Verify insurance eligibility for medical insurances for upcoming appointments by utilizing online websites or by contacting the carriers directly.
• Review patient deductibles and/or copays and enter into the billing system.
• Assist front office with verification questions or concerns.
• Answers questions from patients, clerical staff and insurance companies.
• Works in conjunction with the reception to ensure clean billing.
• Performs miscellaneous job-related duties as assigned.
• Participates in educational activities and attends monthly staff meetings.
• Maintains strictest confidentiality; adheres to all HIPAA guidelines/regulations.

Benefits

• Employee Paid Benefits such as Medical, Dental, and Vision, short-term disability, voluntary life insurance, accident, critical illness, hospital indemnity, pet insurance, HSA pre-taxed contributions, 401 (k) retirement savings contributions both Roth and Traditional options starting date of hire.
• Employer Paid Benefits such as long-term disability, $25,000 basic life insurance policy, 3% 401(k) safe harbor contribution, HSA employer contributions, annual performance merit increases, certification opportunities, rewards & recognition platform, WellHub Starter Plan Gym Membership, paid time off and (8) paid holidays + (1) floating holiday annually.

What This Job Offers

• Job Type: Full-time
• Career Level: Mid Level
• Education Level: High school or GED