Insurance Verification Specialist

Posted 7 Days Ago
Be an Early Applicant
75025, Plano, TX, USA
In-Office
Mid level
Healthtech • Professional Services • Social Impact
The Role
Verify insurance benefits, enter and maintain insurance and financial data in medical records, call clients to review benefits and open-access process, log verifications, prepare schedules for prescribers, and provide backup support across locations while following agency procedures and trauma-informed care.
Summary Generated by Built In

This role is a key team-player position in a constantly busy environment that requires accuracy, attention to details, initiative and a pro-active approach to duties and responsibilities while working with individuals in service, clinical team and co-workers. The qualified applicant must demonstrate a positive attitude, considerable latitude for independent judgment, professional ethics, appearance and conduct.


Primary Duties:

  • Receive Insurance Verification Form
  • Verify Insurance Benefits and call the individual to go over benefits.
  • Enter all insurance information into the medical record and ensure all financial components are in place after the initial financial and all financial updates are submitted for review.
  • Regular insurance verification as needed.
  • Serve as back up for other support staff as needed.

Additionally:

  • Call the individual to go over benefits and if they are not currently receiving services at LPC, review the Open Access process. 
  • Complete log of all Verifications
  • Schedule Prep for Prescribers
  • Verify Current Insurance on file.
  • Check for any balance(s) due.
  • Verify that client has current UA and TP.
  • Acts as a responsible member of the team.  Works cooperatively with individuals and staff to meet the needs of individuals while following agency procedures.
  • Understands and promotes trauma informed care practices.

 

Position will be required to assist with coverage at either location, Plano or McKinney, as needed. 

Qualifications

Education, Training and Experience (including licensure and certification)

  • High School Diploma or general education degree (GED)
  • Three (3) years’ experience working in a medical office, agency, or hospital with knowledge of scheduling, insurance verification, billing & collections (especially Medicaid, Medicare, & Private Insurance), data entry, and general office management experience in general office duties.

Knowledge, Skills and Abilities

  • Knowledge and experience in performing medical office duties. 
  • Must be knowledgeable in computer programs such as MSWord and Excel. 
  • Must be professional and knowledgeable of customer service skills.
  • Must be knowledgeable of Medicaid, Medicare, and Private Insurance billing practices.

Skills Required

  • High School Diploma or GED
  • Three years' experience in a medical office, agency, or hospital with scheduling, insurance verification, billing & collections, data entry, and office management
  • Knowledge of Medicaid, Medicare, and Private Insurance billing practices
  • Proficiency with MS Word and Excel
  • Professional customer service skills, appearance, conduct, and positive attitude
  • Ability to assist with coverage at either Plano or McKinney locations as needed
  • Ability to enter insurance information into medical records, complete verification logs, and check client balances
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The Company
625 Employees
Year Founded: 2002

What We Do

LifePath Systems is the designated behavioral health and intellectual and developmental disabilities authority for Collin County, Texas. Operating as a unit of local government and a not-for-profit center, it provides comprehensive mental health, substance use, and intellectual and developmental disability services to residents of the county. The organization is funded by federal, state, and local sources to serve individuals and families impacted by these challenges.

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