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Insurance Verification Specialist
3 months ago
This position requires in-person training. Please apply only if you are in the Houston or Clear Lake area.
q-Health is seeking an Insurance Verification Specialist to join our team. The ideal candidate has excellent attention to detail and knowledge of insurance verification and authorization/referrals. Experience with primary care / family medicine is preferred.
We are open Monday through Friday and are located in Clear Lake. This position is capable to be fully remote after 6 months.
q-Health offers a full benefit package including 401k, medical, dental, vision, life, as well as short- and long-term disability.
If you are looking for a fast-paced and challenging career change, q-Health is the place for you
Core Responsibilities:
- Verifying patient insurance coverage prior to patient appointments and ensuring the necessary procedures are covered by a patients' insurance plan.
- Entering and maintaining accurate insurance information in the patient record.
- Request and process referrals required by HMO plans. Communicate with patients prior to their appointment about the referral required for their plan.
- Notifies provider when no provider in network is available
- Obtain prior authorization for clinics throughout the Houston area.
- Knowledge of customer service principles and practices.
Skills Required:
- Ability to achieve team goals while demonstrating organizational values and utilizing resources responsibly.
- Ability to be proactive and take initiative.
- Exhibit high level of quality through attention to detail and monitoring of work.
- Possession of strong organizational skills.
- Excel Spreadsheets knowledge.
- Excellent verbal and written communication, as well as exceptional interpersonal communication skills.
- Maintains confidentiality of patient information by following policy and procedure and practice protocol.
- Bilingual in Spanish / English preferred.
- Knowledge of general office tasks, confidentiality, filing, medical terminology, CPT coding, and managed care referral process.
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