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OGA

Insurance Verification Specialist - Medical Office

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Job Description

Who We Are:
OGA (OB-Gyn Associates) is one of the Treasure Valley's premier women's health service providers. We are a privately owned company with about 90 employees. We are a recent recipient of a Top Workplaces award for the Treasure Valley in 2022 -2026! We are one of 35 companies to receive the award out of about 1,200 participating companies, and we're very honored! We believe in cultivating a strong and supportive culture for our staff. We have a great team at OGA and enjoy doing fun things like contests, potlucks, games, lunch & learn sessions, arts & crafts, educational opportunities, and more. Full-time employees have access to a full benefits package including, but not limited to: Medical, Dental & Vision insurance, Paid-time-off, Paid holidays, and 401(k) retirement plan participation, Employee Assistance Program (EAP), and more!
Purpose:
OGA Women's Health is seeking an Insurance Verification Specialist to join our team. This position plays an important role in creating a smooth experience for our patients by confirming insurance coverage, identifying benefit requirements, and helping ensure accurate information is available before services are provided. This position is full-time (40 hours per week), Monday through Friday.
Key Responsibilities:
Verify patients' insurance eligibility, benefits, and coverage before scheduled appointments and procedures. Confirm deductibles, copays, coinsurance, benefit limitations, and other patient financial responsibilities. Identify referral or prior-authorization requirements and communicate them to the appropriate team members. Accurately document insurance information and verification results in the electronic health record. Contact insurance carriers to clarify coverage, resolve discrepancies, and obtain missing information. Communicate insurance information and coverage concerns to patients clearly and respectfully. Collaborate with scheduling, clinical, and Revenue Cycle teams to prevent delays in care or claim processing. Maintain patient confidentiality and follow HIPAA requirements.
Qualifications:
Must be 18 years of age and hold a high school diploma or equivalent. A minimum of 1 year of previous experience with insurance verification, medical billing, patient access, or another healthcare administrative role. Familiarity with medical insurance terminology, including deductibles, copays, coinsurance, referrals, and prior authorizations. Comfortable using electronic health records, insurance portals, and other computer-based systems. Ability to work independently while collaborating effectively with patients, coworkers, and insurance representatives.
Pay:
$17.00 -$20.00 per hour, depending on experience.
Pay:
$17.00 - $20.00 per hour Expected hours: 40.0 per week
Benefits:
401(k) 401(k) matching Dental insurance Disability insurance Employee assistance program Flexible schedule Flexible spending account Health insurance Health savings account Life insurance Paid time off Retirement plan Vision insurance
Experience:
Medical Office, Patient Access, or Medical Billing:
1 year (Required)
Work Location:
In person

Benefits

  • Paid Time Off (PTO)
  • 401(k) Plans
  • Other Retirement and Savings
  • Health and Wellness Programs