Insurance Verification Specialist (Bilingual)

HOPE Clinic•Houston, TX

6d•Onsite

About The Position

Perform insurance verification. Responsibilities include but not limited to heavy phone contact with managed care companies, communicate with insurance companies authorization department regarding any CPT code discrepancies (as assigned), and contact patient prior to appointment if there is any insurance/ authorization issues. HOPE Clinic provides equal employment opportunities to all employees and applicants for employment and prohibits discrimination and harassment of any type without regard to race, color, religion, age, sex, national origin, disability status, genetics, protected veteran status, sexual orientation, gender identity or expression, or any other characteristic protected by federal, state, or local laws.

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
Second language is a plus
Experience working with eClinicalWorks is 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.