Job Summary We are seeking a dynamic and detail-oriented Bilingual Patient Appointment Scheduler and Medical Insurance Verification Specialist to join our healthcare team. In this vital role, you will serve as the primary point of contact for verifying patients' insurance coverage, ensuring accurate and timely processing of insurance information, and facilitating smooth patient billing and authorization procedures. Your expertise in health insurance policies, medical coding, and electronic health records will help streamline operations and enhance patient satisfaction. Fluency in both English and Spanish is essential to effectively communicate with diverse patient populations and insurance providers. This position offers an exciting opportunity to contribute to high-quality healthcare delivery while working in a fast-paced, supportive environment committed to excellence. Duties Schedule patient appointments, efficiently and strategically, correlating to techs preferred route per need of daily business operations. Verify patient insurance coverage by reviewing insurance cards, electronic health records (EHR), and managed care portals with precision and attention to detail. Obtain prior authorization for medical services by coordinating with insurance companies, healthcare providers, and patients to meet all necessary requirements. Ensure compliance with HIPAA (Health Insurance Portability and Accountability Act) regulations by maintaining strict confidentiality of medical records and clinical information. Utilize medical terminology, CPT coding (Current Procedural Terminology), ICD-9/ICD-10 (International Classification of Diseases), and ICD coding to accurately document procedures and diagnoses. Manage electronic health records (EHR) systems efficiently using Microsoft Office tools and specialized EHR/EHR management software to update patient information promptly. Communicate clearly with patients, providers, and insurance representatives to clarify coverage details, answer inquiries, and resolve discrepancies swiftly. Maintain detailed documentation of verification processes, insurance authorizations, and related correspondence for auditing purposes. Skills Knowledge of Las Vegas metro area and use of google mapping Strong knowledge of health insurance policies, managed care processes, and medical billing practices. Proficiency in medical coding including CPT, ICD-9/ICD-10, ensuring accurate claim submissions and reimbursements. Familiarity with HIPAA regulations and clinical confidentiality policies to protect patient privacy at all times. Excellent customer service skills with the ability to communicate effectively in both English and Spanish across diverse audiences. Experience working with electronic health records (EHR) systems, EMR/EHR management tools, and Microsoft Office applications for documentation purposes. Understanding of insurance prior authorization procedures and requirements for various healthcare services. Background in medical office or healthcare environment with knowledge of medical terminology, medical records management, and office procedures. Join our team if you're passionate about making a difference in healthcare through meticulous verification processes, excellent communication skills, and a commitment to patient care excellence!

Pay:

$14.00 - $16.00 per hour Expected hours: 20.0 per week

Work Location:

In person