Insurance Claims Specialist

5 days ago


San Antonio, Texas, United States Gonzaba Medical Group Full time
Job Summary

We are seeking a highly organized and detail-oriented Insurance Verification Specialist to join our team at Gonzaba Medical Group. In this role, you will be responsible for ensuring the financial integrity of patient accounts, verifying insurance information, and communicating with patients and clinical staff to streamline the process.

Key Responsibilities
  • Collect and verify patient demographics and insurance information to ensure accurate billing and reimbursement.
  • Verify patient eligibility and benefit package information to ensure compliance with contractual requirements.
  • Communicate with patients and clinical staff to explain financial responsibilities and co-payment collection.
  • Obtain necessary information from PCP and HMO payers to initiate managed care authorizations and pre-certification.
  • Review scheduling reports to ensure all patients are worked prior to appointment date.
  • Work closely with managers and designated personnel to resolve insurance-related issues.
Requirements
  • Minimum two years of general office/customer relations experience, preferably in a medical setting.
  • Data entry, telephone service experience, and medical insurance knowledge required.
  • Ability to complete efficient and accurate data entry at a computer terminal, typing at least 30 words per minute.
  • Excellent interpersonal and communication skills, with ability to maintain confidentiality.
Work Environment

This role is based in a clinic setting, requiring manual dexterity, sitting, standing, and lifting up to 40 pounds. Close vision and ability to adjust focus are also required for extensive telephone work.


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