Insurance Verification Specialist (Bilingual)
About The Position
The Insurance Verification Specialist performs insurance verification, which includes heavy phone contact with managed care companies, communicating with insurance companies' authorization departments regarding CPT code discrepancies, and contacting patients prior to appointments about insurance or authorization issues. This role involves accurately entering insurance information into the computer system, verifying insurances for patients three days ahead of the eCW schedule, and precisely documenting all information. The specialist is also responsible for scanning proof of insurance verification documents into patient accounts, calculating cash estimates for upcoming visits/procedures, and documenting activity in patient accounts. Maintaining clear communication with patients and insurance companies is crucial. Additional duties include answering incoming calls, making outgoing calls, assisting the Call Center as needed, maintaining strict confidentiality of patient and center-related business, and attending on-site/off-site community engagement activities and clinic events as required to support HOPE Clinic’s Mission, Vision, and Values.
Requirements
- Minimum of 1 year of insurance verification experience, health education, patient navigation, and/or health clinic patient assistance field.
- Intermediate experience with MS Word, MS Excel, MS Outlook.
- Knowledge of CPT, ICD-9 and ICD-10 Codes.
- Strong understanding of benefits investigating; deductibles, co-insurance, out of pocket expense & benefit exclusions.
- Ability to effectively handle multiple responsibilities simultaneously in a deadline driven environment.
- Excellent verbal, written communication and interpersonal skills.
- Ability to work independently and as part of a team and take on new tasks.
- Attention to detail.
- Ability to exhibit a high level of confidentiality.
- Basic knowledge of dental and vision insurance verification.
- Proof of COVID-19 Vaccine.
- HS Diploma required.
- Must have good transportation and a valid Texas Driver’s license.
Nice To Haves
- Associate Degree is a plus
- Fluent in English; second language is a plus
- Experience working with eClinicalWorks is a plus!
- Bilingual a plus!
Responsibilities
- Accurately enter insurance information into computer system.
- Verify the insurances for every patients 3 days ahead of the eCW schedule.
- Concisely, precisely and accurately document all information.
- Scanning the proof of insurance verification documents into patient accounts.
- Calculate cash estimates for patients on upcoming visits/ procedures.
- Documents activity in the patient accounts.
- Maintain clear communication with patients as well as insurance companies.
- Answer phone for incoming calls, make outgoing calls and assist Call Center as needed.
- Maintain strict confidentiality of patient and center related business.
- Attend on-site/off-site community engagement activities and on-site/off-site clinic events as needed.
- Perform other responsibilities as assigned to support HOPE Clinic’s Mission, Vision and Values.
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What This Job Offers
Job Type
Full-time
Career Level
Entry Level
Education Level
High school or GED
