INSURANCE VERIFICATION & ELIGIBILITY SPECIALIST

Texas Institute for Neurological DIsorders Frisco, TX Job Details Full-time 22 hours ago Benefits Disability insurance Health insurance Dental insurance 401(k) Paid time off Vision insurance Life insurance Qualifications Spanish HIPAA English High school diploma or GED Medical administrative support Clinical information systems Cross-functional collaboration Cross-functional communication Full Job Description

POSITION SUMMARY

The Insurance Verification & Eligibility Specialist is responsible for pre-visit financial and administrative clearance for scheduled patients across

TIND/USNA

clinic locations - confirming active insurance eligibility, estimating patient benefits and financial responsibility, and confirming that a valid referral is on file ahead of the appointment. This is a centralized, multi-site support role based in Frisco or Plano. This role is being built as a foundational function within patient access, with the expectation that specialists may be cross-trained across adjacent verification, referral, and scheduling-support functions as the team and organization grow. The ideal candidate is detail-oriented, comfortable with a high volume of time-sensitive work, and able to communicate clearly across scheduling, clinical, and revenue cycle teams.

KEY RESPONSIBILITIES

Verification & Financial Clearance

• Verify active insurance eligibility for scheduled patients ahead of their appointment, using payer portals and eCW.
• Estimate patient benefits and out-of-pocket financial responsibility (copay, coinsurance, deductible status) prior to the visit.
• Confirm a valid referral is on file for the scheduled visit; identify and resolve missing or expired referrals with enough lead time to avoid disrupting the appointment.
• Identify self-pay/uninsured patients and route them to the appropriate financial counseling process.
• Communicate clearly and professionally with patients regarding their insurance coverage, eligibility, and estimated financial responsibility when questions arise.
• Maintain compliance with HIPAA and patient confidentiality requirements in all verification and communication activity. Coordination & Process
• Coordinate with the Prior Authorization team on visits or orders that require authorization, ensuring accurate and timely information is shared between functions.
• Maintain clear, up-to-date status tracking so scheduling and front-desk staff can see whether a patient is cleared, pending, or flagged for an issue ahead of their visit.
• Escalate unresolved eligibility, benefit, or referral issues according to a defined pre-visit timeline.
• Partner with scheduling, front-desk, and revenue cycle staff to resolve issues that could otherwise result in a day-of or near-term cancellation. Documentation & Reporting
• Maintain accurate, timely documentation of all verification activity for audit and operational reporting.
• Support ongoing process improvement as the function scales and cross-trains across related patient access workflows.

QUALIFICATIONS

Required

• High school diploma or equivalent required; some college or relevant certification preferred.
• Prior experience in medical insurance verification, benefits investigation in a healthcare setting.
• Working knowledge of major payer portals and insurance eligibility/benefit verification processes.
• Experience with eClinicalWorks (eCW) or a comparable EHR.
• Strong attention to detail and ability to manage a high volume of time-sensitive verifications accurately.
• Clear, professional communication skills — this role interfaces regularly with scheduling staff, the Prior Authorization team, and occasionally patients directly.
• Comfortable working in a centralized, multi-site support role covering all clinic locations. Preferred
• Experience or interest in cross-training across referral processing, scheduling support, or prior authorization functions.
• Experience in neurology or another complex specialty care setting.
• Bilingual English/Spanish.
• Familiarity with medical terminology.

SUCCESS FACTORS

• Consistent, accurate verification turnaround ahead of a defined pre-visit deadline.
• Measurable reduction in cancellations driven by insurance or referral issues discovered too late to resolve.
• Clean, well-documented handoffs to the Prior Authorization team and other patient access functions.
• Demonstrated flexibility to cross-train and support adjacent functions as the team's scope evolves.

Benefits:

401(k) Dental insurance Disability insurance Health insurance Life insurance Paid time off Vision insurance

Work Location:

In person