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The Retina Center

Insurance Verification Specialist

Career Insights for Eligibility Specialist

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What they do

An Eligibility Specialist provides assistance and information for people who apply for a government benefits program or health care program. Answers questions, assists with an application process, and reviews applications and relevant background information to determine eligibility. May assist eligible applicants with enrolling in a program.

$46,315 / year median in Texas

+19% projected growth

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Job Description

Insurance Verification Specialist 3.0 3.0 out of 5 stars 2806 East 29th Street, Bryan, TX 77802 From $15 an hour - Full-time The Retina Center 12 reviews From $15 an hour - Full-time Job Overview We are in search of a dedicated candidate to join our team as an Insurance Specialist to support our fast-paced Retina Specialty practice! This role is critical to ensuring accurate insurance verification, eligibility confirmation, and timely authorization and referral processing to support seamless patient care and revenue cycle performance. This is an ideal opportunity for a detail-oriented professional who is comfortable working with insurance portals, payer policies, and direct communication with insurance representatives. Responsibilities Verify patient insurance eligibility and benefits via payer portals and phone calls Confirm active coverage, plan details, deductibles, co-pays, and out-of-pocket responsibilities Obtain and track prior authorizations for procedures, imaging, and medications Communicate with insurance carriers to clarify coverage policies and authorization requirements Review and interpret payer guidelines to ensure compliance Document verification and authorization details accurately in the EMR system Coordinate with front desk and clinical teams to ensure all required approvals are in place prior to services Identify and escalate issues related to coverage limitations or authorization delays Requirements Experience in medical insurance verification (strongly preferred) Experience with EMR/EHR systems ( preferred ) High attention to detail and accuracy Strong communication and problem-solving skills Ability to work efficiently in a fast-paced medical environment Ability to communicate efficiently with peers and others Why You'll Love This Role Predictable Monday-Friday schedule (no weekends) Work in a specialty medical practice with high-level clinical exposure Direct impact on patient care and operational efficiency Collaborative, team-oriented environment Competitive pay based on experience Full benefits package available for full-time employees If you are ready to join a high-performing team , contribute to meaningful patient care, and play a critical role in a specialized retina practice, we encourage you to apply today. We are looking for motivated professionals who take pride in accuracy, efficiency, and supporting exceptional patient care!
Job Type:
Full-time Pay:
From $15.00 per hour
Benefits:
401(k) Dental insurance Health insurance Paid time off
Experience:
Insurance verification: 1 year (Preferred)
Location:
Bryan, TX 77802 (Preferred)
Work Location:
In person