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Healthcare Insurance Specialist

1 month ago

Marshall, Texas, United States Genesis Prime Care Full time
Job Summary

At Genesis Prime Care, we are seeking a skilled Healthcare Insurance Specialist to join our team. This role plays a critical part in ensuring the financial stability of our federally qualified health center by verifying patient insurance information, designating our health center as the primary care provider, and assisting patients with changing their provider when necessary.

Key Responsibilities:

  • Verify patient insurance information and ensure accurate coverage details.
  • Designate our health center as the primary care provider and assist patients with changing their provider when necessary.
  • Obtain prior authorizations and ensure coverage details are up to date.

Requirements:

  • High school diploma or equivalent required; Associate's degree or relevant certification in healthcare administration, medical billing, or a related field preferred.
  • Minimum of 2 years of experience in insurance verification, medical billing, or a similar role in a healthcare setting, preferably in an FQHC or community health center.
  • Proficient in using EHR systems and other healthcare management software.
  • Strong understanding of various insurance plans, including Medicare, Medicaid, and commercial insurances.

Work Environment:

  • The role involves working in a typical office environment within the health center.
  • The position may require occasional overtime or weekend hours depending on the needs of the health center.

Physical Requirements:

  • Ability to sit for extended periods while working on a computer.
  • Occasional lifting of office supplies and materials up to 20 pounds.