Insurance Verification Coordinator

Retina Consultants of Houston•San Antonio, TX

1d•Onsite

About The Position

Retina Consultants of Texas (RCTX) 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 coordinator follows up on accounts requiring further evaluation and calls insurance carriers to obtain verbal verification. The role requires focused, efficient processing of verifications and strong phone communication skills. The position 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 based on provider clinic, patient, and surgery schedules. RCTX is a retina-only ophthalmology practice with 26 physicians and 25 locations. The organization emphasizes Hard Work, Authentic Care, and Innovation, and describes its culture as Retina Warriors. The role works with patients, providers, the front office, reception, clerical staff, and insurance companies. Full-time eligible employees may access the listed benefits after a 60-day introductory period, except the 401(k) retirement savings contributions, which start on the date of hire.

Requirements

High school diploma or GED.
At least 2 years of relevant experience and/or training, or an equivalent combination of education and experience; the posting describes this qualification as preferred.
Proficiency with computers, relevant software applications, and practice management technology.
Knowledge of customer service principles and practices, administrative and clerical procedures, general office tasks, confidentiality, filing, medical terminology, CPT coding, and managed care referral processes.
Knowledge of related OSHA and JCAHO guidelines and requirements.
Basic proficiency in MS Office (Word and Outlook) and EMR.
Ability to type, file, and use a multi-line telephone, computer, fax, copier, and adding machine.
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, demonstrate organizational values, and use resources responsibly.
Ability to be proactive, take initiative, work independently on assigned tasks, and accept direction on assignments.
High attention to detail, quality, and monitoring of work; strong organizational skills.
Excellent verbal and written communication and interpersonal communication skills.
Ability to handle confidential information and issues with discretion and judgment.
Ability to meet patient and provider needs and support the department's operating hours of Monday through Friday, 8:00 a.m. to 5:00 p.m.

Nice To Haves

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

Responsibilities

Verify medical insurance eligibility for upcoming appointments using online websites or by contacting insurance carriers directly.
Review patient deductibles and/or copays and enter them into the billing system.
Assist the front office 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

Employee-paid medical, dental, and vision benefits for eligible full-time employees after a 60-day introductory period.
Employee-paid short-term disability, voluntary life insurance, accident, critical illness, hospital indemnity, and pet insurance for eligible full-time employees after a 60-day introductory period.
HSA pre-tax contributions and employer HSA contributions for eligible full-time employees after a 60-day introductory period.
401(k) retirement savings contributions with Roth and Traditional options, starting on date of hire, and a 3% employer safe harbor contribution.
Employer-paid long-term disability and a $25,000 basic life insurance policy.
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.