Insurance Verification Specialist

KidsCare Home Health•Addison, TX

1d•Hybrid

About The Position

KidsCare Home Health is a multi-award-winning organization, recently recognized as a 2025 U.S. Top Workplace, seeking a dedicated Insurance Verification Specialist. The ideal candidate will embrace KidsCare's C.A.R.E. culture. This position is crucial for ensuring all authorizations and verifications are completed and processed promptly, while maintaining consistent communication with client families, therapists, and physicians. The role offers a comprehensive benefits package including health, dental, and vision insurance, paid time off, 401K, tuition reimbursement, and a hybrid or blended work arrangement.

Requirements

Ability to read and write in simple correspondence with effective speaking in small groups – may be required in more than one language.
Ability to add, subtract, multiply, and divide with whole numbers, including decimals, fractions, and all units of measure.
Ability to interpret instruction with the ability to solve practical problems with a variety of concrete variables.
Intermediate computer skills to include Microsoft Office Suite and database activity.
Handle multiple tasks simultaneously.
Zero (0) to one (1) year of administrative experience.
Specific data entry systems.
Microsoft Office Suite.
High school diploma or general education degree (GED); combination of education and 1 year of experience.

Responsibilities

Collect patient payment as needed, which may include refund processing.
Obtain hard benefit insurance verification in detail from patients’ insurance provider.
Review quote of benefits with caregivers or provide self-pay options for patients as needed.
Maintain authorization workflows to obtain routine, initial, and reauthorizations.
Schedule authorized visits to clinician’s caseload.
Communicate with caregivers and clinicians to provide updates as needed.
Keep up-to-date and remain knowledgeable with all payor requirements/guidelines and procedural changes for each payor.
Contact payor sources for outstanding authorizations, including fax authorization requests with necessary clinical documentation to obtain authorization.
Prepare and fax authorization documentation to physicians for signature.
Process payor changes when notified.
Ensure timely processing of discharge and managing clients holds in the organization’s healthcare software system.
Participate in proactive team efforts to achieve departmental and company goals.
Comply with all company policies, practices, and procedures.
Perform other duties as assigned.