Medical Insurance Verification

General Summary The Insurance Verification Specialist serves as the primary front-desk representative and is responsible for managing the patient check-in experience while supporting efficient front-office operations. This role ensures accurate insurance verification, authorization management, chart preparation, patient financial responsibility calculations, and appointment coordination. The Insurance Verification Specialist works collaboratively with providers, billing staff, and clinical teams to ensure patients are appropriately scheduled, financially informed, and prepared for services. Essential Duties and ResponsibilitiesFront Desk & Patient Experience Greet patients in a professional, courteous, and welcoming manner. Manage patient check-in and check-out processes. Collect and update patient demographic, insurance, and contact information. Ensure all required patient forms, consents, and documentation are completed and on file. Answer incoming calls and direct inquiries to the appropriate department. Maintain a positive patient experience while supporting efficient office workflow. Insurance Verification & Financial Clearance Verify insurance eligibility, benefits, and coverage prior to patient appointments. Review payer requirements and identify authorization needs. Calculate patient financial responsibility, including deductibles, copays, coinsurance, and non-covered services. Communicate financial obligations to patients and facilitate upfront collections. Establish payment arrangements in accordance with company policies. Maintain accurate insurance documentation within the electronic medical record. Chart Preparation & Authorization Management Complete comprehensive chart preparation for upcoming appointments. Ensure all required documentation, referrals, authorizations, and insurance information are obtained prior to patient visits. Obtain and manage authorizations for procedures, injections, diagnostic testing, and specialty services. Secure same-day authorizations when clinically necessary. Monitor authorization status and proactively resolve issues that may impact patient care. Scheduling & Appointment Management Schedule and reschedule patient appointments according to established protocols. Manage provider schedules to maximize efficiency and patient access. Fill appointment cancellations utilizing waitlists and recall lists. Coordinate rescheduling related to insurance, authorization, or provider availability issues. Process new patient referrals and ensure all scheduling requirements are met. Maintain communication with patients regarding appointment changes and requirements. Administrative & Revenue Cycle Support Assist billing staff with insurance-related inquiries and claim resolution. Support collection efforts through accurate verification and documentation practices. Review and maintain work queues related to insurance verification and authorizations. Process incoming referrals and ensure timely follow-up. Maintain accurate records and documentation in accordance with company policies. Assist with medical records requests and administrative office functions as needed. Team Collaboration Collaborate with providers, medical assistants, billing staff, and leadership to support patient care and operational efficiency. Communicate workflow concerns and process improvement opportunities to leadership. Participate in training and onboarding of new team members as assigned. Support cross-functional initiatives that improve patient experience and revenue cycle performance. Required Skills and Competencies Strong understanding of medical insurance plans, benefits, referrals, and prior authorizations. Knowledge of patient financial responsibility calculations including deductibles, copays, and coinsurance. Familiarity with electronic medical records (EMR), practice management systems, and scheduling software. Excellent customer service and communication skills. Strong organizational skills with exceptional attention to detail. Ability to prioritize multiple tasks in a fast-paced environment. Working knowledge of HIPAA and patient confidentiality requirements. Proficiency with Microsoft Office, Google Workspace, and standard office equipment. • Specialists in Rehabilitation Medicine is an

Equal Opportunity Employer Pay:

$18.00 - $25.00 per hour

Benefits:

Dental insurance Disability insurance Flexible spending account Health insurance Health savings account Life insurance Paid time off Vision insurance People with a criminal record are encouraged to apply

Work Location:

In person