Job Description
Insurance Verification Specialist
Insurance Verification Specialist, Job, Greater Austin Allergy, Full-time, Days, Round Rock, Texas
Hybrid or Remote Possibility
Were hiring for an Insurance Verification Specialist at Greater Austin Allergy as a Full-Time team member in Round Rock, Texas
The Insurance Verification Specialist plays a crucial role in ensuring accurate verification of
insurance coverage for patients spanning 12 clinic locations within Texas and California, handling
a high volume of verification tasks. This position is responsible for verifying patient insurance
information and determining coverage levels. The Insurance Verification Specialist collaborates
closely with patients, healthcare providers, clerical staff, and insurance companies to facilitate
smooth billing processes and ensure timely reimbursement.
DUTIES/RESPONSIBILITIES:
Maintain patient demographic information and data collection systems.
Verify insurance eligibility and coverage accurately and efficiently, utilizing online platforms
or by directly contacting carriers.
Analyze patient insurance details, deductibles, copays, and coverage levels to provide
transparent financial information.
Generate cost estimates and communicate them to Patient Care Representatives for
dissemination to front-end departments.
Coordinate with the front-end regarding scheduling errors and reschedule appointments as
needed.
Participate in the development of organizational procedures and updates to forms and
manuals.
Answer questions from patients, clerical staff, and insurance companies, maintaining
records of interactions through provider website portals.
Respond to tasks received via AMD and monitor the fax queue for administrative faxes.
Work in conjunction with reception to ensure clean billing processes.
Attend weekly Administration Meetings and bi-weekly MA 3 & Reception Meetings.
Actively navigate and manage multiple insurance portals to obtain available insurance
details.
Act as Primary Administrator for multiple insurance portals, overseeing the review and
approval/denial of requested access.
Maintain strict confidentiality and adhere to all HIPAA guidelines and regulations.
Adhere to GAA policies, practices, and procedures, including knowledge of medical
fundamentals such as safety and quality care standards.
Stay updated on insurance regulations, policies, and procedures to ensure compliance with
industry standards.
Provide excellent customer service to patients and healthcare providers, addressing any
insurance-related inquiries or concerns promptly and professionally.
Perform other duties as necessary or assigned.
KNOWLEDGE, SKILLS & ABILITIES:
Technical proficiency in diverse operational systems, including EMRs, communication
platforms, scheduling, payroll, billing, and Google Workplace.
Exceptional interpersonal and communication skills for effective collaboration with
Physicians, medical professionals, office personnel, and patients.
Strong analytical and problem-solving abilities to enhance operational efficiency and
address challenges promptly.
Advanced computer literacy with expertise in healthcare and administrative software like
Rosch, AdvancedMD, Google, and Share Drive.
In-depth understanding of healthcare best practices and standards, ensuring regulatory
compliance and quality care delivery.
Effective organization and time management skills for multitasking and task prioritization.
Strong attention to detail, ensuring accuracy and precision in all tasks.
Comprehensive knowledge of health and safety standards in the medical industry,
prioritizing patient and staff well-being.
If you feel your experiences are congruent with the skills we are looking for- please, apply today at; . Once you have completed our short application and attached your resume, a member of our team will reach out to you shortly- we look forward to connecting!
Job Tags
Full time, Remote job,