Insurance Verification Representative - Orthopedic Clinic

Community Health Systems•Longview, TX

About The Position

The Insurance Verification Representative verifies insurance coverage and benefits for scheduled procedures and services. The role helps ensure accurate patient records and obtains prior authorizations when needed to support timely reimbursement. The representative works closely with clinical and administrative teams to provide a seamless patient experience. This position requires 0–2 years of experience in insurance verification, billing, or a related healthcare role. Applicants must be authorized to work in the United States for an employer; immigration sponsorship is not available now or in the future.

Requirements

0–2 years of experience in insurance verification, billing, or a related role in a healthcare setting.
Basic knowledge of insurance terminology, eligibility verification, and authorization processes.
Strong attention to detail and accuracy in data entry and documentation.
Effective communication and interpersonal skills for interacting with patients, staff, and insurance companies.
Ability to manage time effectively and work in a fast-paced environment.
Proficiency in basic computer skills and comfort navigating healthcare billing or insurance software.
Must be authorized to work in the U.S. for an employer; immigration sponsorship is not available now or in the future.

Responsibilities

Verify patient insurance information, including eligibility, benefits, and coverage limitations.
Review scheduled services and procedures to determine whether pre-certifications or authorizations are required.
Coordinate with insurance providers to obtain required authorizations and verify prior approvals.
Communicate insurance requirements and benefit information to patients and answer questions about coverage.
Enter and update insurance information accurately in patient medical records and billing systems.
Identify and resolve insurance-related discrepancies or issues, working with other departments as needed.
Assist with denied authorizations and facilitate appeals as required.
Perform other duties as assigned.
Maintain regular and reliable attendance.
Comply with all policies and standards.