Insurance Verification Specialist

Diabetes & Glandular Disease Clinic, P.A.•San Antonio, TX

About The Position

The Insurance Verification Specialist performs clerical functions for patient billing, including verification of insurance information and resolution of problems to ensure a clean billing process. This role involves following up on accounts that require further evaluation and working collaboratively in a team environment.

Requirements

Thorough knowledge of all insurance procedures to include, but not limited to, registration requirements, collection of co-pays, co-insurances, deductibles, and allowable procedures and charges.
Knowledge of HIPAA laws and regulations.
Knowledge of maintaining health care records.
Computer literacy.
Ability to deal with all patients or visitors regardless of their temperament with proper decorum.
Excellent organizational skills.
Knowledge of medical terminology.
Excellent verbal and written communication skills.
Excellent customer service skills.

Nice To Haves

Bilingual (English/Spanish)

Responsibilities

Maintains patient demographic information and data collection systems.
Verify insurance eligibility for medical insurance for upcoming appointments by utilizing online websites or by contacting the carriers directly.
Receiving, cataloging, and tracking progress of verification requests received.
Recognize insurance verifications that need to be transferred to referrals for authorizations.
Coordinate with front end regarding scheduling errors.
Assist front end staff and call center staff in understanding carrier websites and verification of eligibility.
Evaluate insurance for need of a referral.
Answer questions from patients, clerical staff, and insurance companies.
Works in conjunction with the front office staff to ensure clean billing.
Participates in trainings and attends staff meetings.
Maintains strict confidentiality; adheres to all HIPAA guidelines/regulations.
Other duties as assigned.