Job Description

POSITION TITLE: Insurance Verification Specialist

LOCATION: HOPE Clinic - Alief (Health and Wellness Center)

REPORTS TO: Insurance Verification Specialist Team Lead

EDUCATION: High School Diploma or GED required; Associate Degree is a plus

WORK EXPERIENCE: Minimum of one (1) year of insurance verification experience

SALARY RANGE: $14.50/hr starting

FLSA STATUS: Hourly Non-exempt

POSITION TYPE: Full-time

LANGUAGE: Fluent in English; second language is a plus

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.

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.

MAJOR DUTIES & 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.

Requirements

QUALIFICATION 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.
• Experience working with eClinicalWorks is a plus!

EDUCATION and/or EXPERIENCE:

• HS Diploma required with minimum of 1 year of insurance verification experience.

OTHER SKILLS and ABILITIES:

• Bilingual a plus!
• Must have good transportation and a valid Texas Driver’s license.