Insurance Verification Specialist

COLLIN COUNTY MENTAL HEALTH RETARDATION CENTER•McKinney, TX

9d•$17 - $21•Onsite

About The Position

The Insurance Verification Specialist is a key team member in a consistently busy environment. The role requires accuracy, attention to detail, initiative, and a proactive approach while working with individuals, service and clinical teams, and coworkers. The qualified applicant should demonstrate a positive attitude, sound independent judgment, professional ethics, and professional appearance and conduct. The specialist receives insurance verification forms, verifies benefits, contacts individuals to review coverage, and enters insurance information into medical records. The role ensures financial components and updates are submitted for review, performs insurance verification as needed, and provides backup support to other staff. Additional duties include maintaining verification logs and preparing schedules for prescribers. The specialist also checks current insurance, balances due, and whether clients have current UA and TP. The position requires cooperation with individuals and staff, adherence to agency procedures, and understanding and promotion of trauma-informed care. Employees receiving a bilingual stipend may be asked to translate for staff and use approved language in service delivery. Reasonable flexibility is required to meet community and family needs, including occasional evening hours outside the employee’s typical schedule.

Requirements

High school diploma or GED.
Three years of experience working in a medical office, agency, or hospital.
Knowledge of scheduling, insurance verification, billing and collections, especially Medicaid, Medicare, and private insurance.
Data-entry experience and general office management experience.
Knowledge and experience performing medical office duties.
Knowledge of computer programs such as Microsoft Word and Excel.
Professionalism and knowledge of customer service skills.
Knowledge of Medicaid, Medicare, and private insurance billing practices.

Responsibilities

Receive insurance verification forms.
Verify insurance benefits and contact individuals to review their benefits.
Enter insurance information into medical records and ensure financial components and updates are submitted for review.
Perform regular insurance verification as needed.
Provide backup support for other support staff as needed.
Explain the Open Access process to individuals who are not currently receiving services at LPC.
Complete logs of insurance verifications.
Prepare schedules for prescribers.
Verify that current insurance is on file.
Check for balances due.
Verify that clients have current UA and TP.
Work cooperatively with individuals and staff to meet individuals’ needs while following agency procedures.
Understand and promote trauma-informed care practices.
If receiving a bilingual stipend, translate for other staff as needed and use approved language in service provision.
Work outside the typical schedule, including occasional evenings, when necessary to accommodate family availability.