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Pulmonary Bill, LLC

Medical - Data Entry / 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

Medical - Data Entry / Insurance Verification Specialist Pulmonary Bill, LLC Corpus Christi, TX Job Details Full-time $13 - $15 an hour 13 hours ago Qualifications Microsoft Excel Medicare Phone communication High school diploma or GED Clinical data entry Attention to detail Organizational skills Productivity software Quality data entry Time management Client interaction via phone calls Customer data entry Full Job Description

NOT A REMOTE POSITION

•Must have ( 2-5 years) in a medical office, billing, or insurance verification role. Position summary The Medical - Data Entry and Insurance Verification Specialist is responsible for accurately entering and maintaining patient and insurance information in our database. This role is crucial for ensuring a smooth and accurate billing and claims process by verifying patient eligibility and benefits. The ideal candidate is detail-oriented, possesses strong organizational skills, and can communicate effectively with patients, insurance carriers, and internal teams. Key responsibilities Medical - Data entry: Accurately enter, update, and maintain patient demographic information, insurance details, and referral information in the electronic medical records (EMR) or billing system. (E

CLINICAL WORKS, MEDISOFT

) Medical - Insurance verification: Proactively contact insurance companies to verify patient eligibility, benefits, and coverage details, including co-pays, deductibles, and co-insurance.

Authorization:

Obtain and track pre-authorizations or referrals required for specific medical services or procedures.

Problem resolution:

Identify and resolve any insurance-related issues, discrepancies, or denials by communicating with patients, providers, and insurance carriers.

Patient communication:

Clearly and professionally explain insurance coverage, estimated costs, and financial responsibilities to patients.

Records management:

Scan, index, and organize patient documents, insurance cards, and other related paperwork.

Compliance:

Maintain strict confidentiality of all patient information and adhere to HIPAA regulations and company policies. Required skills and qualifications High school diploma or equivalent is required. Proven experience ( 2-5 years) in a medical office, billing, or insurance verification role. Proficiency in data entry and strong familiarity with computer software, including Microsoft Office (Excel) and EMR/billing systems. Excellent communication skills, both verbal and written, with professional telephone etiquette. Exceptional attention to detail and a high level of accuracy. Strong organizational and time-management abilities. Ability to work independently and as part of a team in a fast-paced environment. Experience with specific insurance portals (e.g., Availity, Novitasphere) is a plus.

NOT A REMOTE POSITION

Job Type:
Full-time Pay:

$13.00 - $15.00 per hour

Work Location:

In person