Insurance Verification Specialist

Tuolumne Me Wuk Indian Health Center Inc.

1d•$23 - $35

About The Position

Join our team at the Tuolumne Me-Wuk Indian Health Center, where we offer more than just a job -- we provide a community-focused environment with competitive salaries, exceptional benefits, and a true work-life balance. Our comprehensive benefits package includes medical, dental, vision, and a 401(k) plan, ensuring you and your family are well cared for. Enjoy farm-to-table food through our food distribution program, giving you access to fresh, nutritious options. Plus, take advantage of Indian Health Service Loan Forgiveness opportunities to advance your career while reducing your student debt. Located in the heart of California’s Sierra Nevada foothills, our location offers not just a fulfilling career but the chance to explore a region full of stunning landscapes and outdoor recreation. Spend your days helping others grow professionally and your evenings and weekends hiking through serene mountain trails, kayaking on pristine lakes, or enjoying the charm of historic Downtown Sonora. With its vibrant culture, unique shops, and year-round festivals, you’ll find endless ways to connect and thrive. Whether you’re seeking professional growth or outdoor excitement, Tuolumne County is the perfect place to build your future. Apply today and start your next adventure with us! POSITION OVERVIEW: Title: Insurance Verification Specialist Reports To: Billing Manager Schedule: M-F; 8am-5pm Status: Non-Exempt Summary: Under the general supervision of the PSR Manager, the Insurance Verification Specialist is a patient facing position. Within this role you will interact with patients collecting and verifying insurance coverage as well as notifying them of gaps in coverage or money required to cover deductibles or co-pays. Additionally, this role with have consistent interaction with the referrals department verifying if referrals and/or authorizations are required for scheduled services then disseminating this information to patients and other departments as needed.

Requirements

High School Diploma or GED with a minimum of one (1) year experience in conducting insurance verification work in a healthcare setting.

Nice To Haves

Knowledge of basic Medi-Cal terminology
Intermediate or higher proficiency in utilizing Electronic Health Records systems
Experience working with Native American population in a healthcare setting 2+ years preferred.

Responsibilities

This role has heavy patient interaction as it verifies insurance coverage at both the primary and secondary levels in a timely manner.
Effective communication back to the patient of any additional information needed as well as communicating any costs that the patient may incur as a deductible or co-pay.
Utilizing the Electronic Health Records (EHR) system the incumbent will effectively enter all relevant data and follow with other departments as necessary.
This could include reviewing with the referrals department any items needed for a patient, or coordinating with external sources in collecting the required information and data.
This role may also be asked to perform standard Patient Service Representative tasks as needed by the needs of the organization.