Insurance Verification Specialist

Sterling Ridge Orthopaedics and Sports Medicine

2d • Hybrid

About The Position

We are looking for a full-time Insurance Verification Specialist to join our top notch team of professionals!

Position will be remote with the possibility of coming in to the office once a week.
20639 Kuykendahl Rd Suite 200 Spring, TX 77379
Hours: Monday - Friday 8:00 AM - 5:00 PM or 8:30 AM to 5:30 PM, with rotating Saturdays (every 8-10 weeks)

Job Summary:
Responsible for all aspects of insurance verification and authorizations including Surgery Authorizations, VISCO injections, Physical Therapy, Occupational, DME and MRI insurance obtaining benefits, getting authorizations, and scheduling patients.
Responsible for confirming referral verifications.
This is not a full job descriptions.
We are an equal opportunity employer and value diversity at our company. We do not discriminate on the basis of race, religion, color, national origin, gender, sexual orientation, age, marital status, veteran status, or disability status.

Requirements

• High School Diploma or GED certificate.
• 2 years’ experience insurance verification process required.
• Basic knowledge of ICD-10 coding
• Knowledge of EMRs, Athena preferred.

Nice To Haves

• Graduate of a certified medical office training course preferred

Responsibilities

• Responds promptly to patient and staff needs.
• Verify insurance eligibility, benefits, and pre-authorization/pre-certification via telephone and internet.
• Initiate the process of obtaining prior authorization, if required, to maximize the opportunity for reimbursement.
• Update patient information as needed in Athena.
• Participates in facility committees, meetings, in-services, and activities.
• Compliant with HIPAA, OSHA, state and federal regulation, and company policies and procedures.
• Perform other miscellaneous office/clerical duties as needed.

What This Job Offers

• Job Type: Full-time
• Career Level: Entry Level
• Education Level: High school or GED