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.
JOB SUMMARY:
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.
Skills Required
- Minimum of 1 year of insurance verification experience
- Intermediate experience with MS Word, MS Excel, MS Outlook
- Knowledge of CPT, ICD-9 and ICD-10 Codes
- Excellent verbal, written communication and interpersonal skills
- Basic knowledge of dental and vision insurance verification
What We Do
The Asian American Health Coalition, operating as HOPE Clinic, is dedicated to improving the health and well-being of underserved and vulnerable populations in Greater Houston by providing comprehensive, culturally sensitive healthcare services regardless of income or insurance status. It is a Federally Qualified Health Center (FQHC).
