Insurance Verification Specialist Jobs in Houston, TX at ALLERGY & ENT ASSOCIATES, P.A.
Title: Insurance Verification Specialist
Company: ALLERGY & ENT ASSOCIATES, P.A.
Location: Houston, TX
Position: Insurance Verification Specialist
Job Type: Full-time, Permanent
Hours: M-F 8am-5pm Location: Onsite – Houston, TX 77067 As an Insurance Verification Specialist, you will play a key role in setting the tone for a positive patient experience by working closely with patients and ordering physicians to ensure services requiring prior authorizations and pre-certifications are obtained when required by medical insurance companies. If you are wanting to make an impact on patients’ lives by joining a successful healthcare group, apply today! A Day In the Life:
Verify insurance eligibility and benefits for specialty services with payers (Commercial and Government) via accessing online payer portals, calling payers, and/or faxing requests.
Accurately enter or update patient demographics, insurance coverage, and effective and termination dates in system.
Utilize CPT and ICD-10 codes to obtain pre-certifications and prior authorizations for medical services (surgeries, diagnostic testing, etc.) when required by insurance.
Calculate patient estimates based on the service schedule, contracted plan reimbursement allowances, benefits, and out of pocket thresholds.
Compassionately provide insurance breakdowns to patients in regard to financial obligations, collect patient payments, and provide counselling.
Interacts professionally with physicians, patients, patient’s family and co-workers.
One (1) to two (2) years of relevant insurance verification experience preferred
Basic understandings of medical insurance benefits
Able to read and understand medical documentation effectively
Knowledge and understanding of In-network vs Out of Network, PPO, HMO