Insurance Verification Specialist / Administrative Clerk

We are seeking an experienced Insurance Verification Specialist to join our team. The ideal candidate will be responsible for verifying resident insurance coverage, obtaining necessary authorizations, and ensuring accurate billing processes. Assist the Administrator, Assistant Administrator, Business Office and Payroll/Human Resources with bookkeeping responsibilities. Perform basic clerical duties.

1. Verifying insurance: Confirming insurance coverage for new residents and referrals, and updating information for existing residents.

2. Obtaining pre-authorizations: Calling insurance companies to get pre-approval for services.

3. Explaining financial responsibilities: Helping residents and families understand their financial obligations.

4. Informing clinical staff: Notifying clinical staff about denials.

5. Answering questions: Responding to questions about billing and insurance.

6. Tracking referrals: Keeping track of physician referrals and providing details to billing staff.

7. Collaborating with others: Working closely with residents, insurance companies and clinical staff.

8. Maintaining records: Keeping a record of the verification process, authorizations and other important information.

9. Assist in Answering and appropriately routing incoming calls.

10. Assist with greeting visitors.

11. Communicate with customers, vendors, fellow employees, managers, and residents.

12. Assist with accounting controls in facility:

a) Accounts Receivable

b) Accounts Payables

c) Payroll

13. Organization, filing and safekeeping of resident and personnel files.

14. Assist with electronic filing and billing.

15. Respect confidentiality of information and administrative decisions.

16. Other assigned tasks as requested by the Administrator, Assistant Administrator, Business Office and Payroll Office.

1. Strong customer service and problem-solving skills.

2. Interact frequently with patients, physicians, and claims processors.

3. Sits up to 6 hours a day while answering the telephone and operating the computer.

4. Occasionally lifts and carries up to 25 pounds of boxes of paper, computer supplies, or filing material.

5. Pulls and pushes up to 30 pounds while opening and closing file drawers.

6. Performs twisting or rotation and reaching motions while sitting at a desk performing alternating tasks of answering the telephone and computer and organizing for filing.

7. Performs reaching and bending motions to file in high or low file drawers and to reach the back of the drawers.

8. Handles computer and computer supplies, facsimile machine and supplies, copy machine and copy paper, postage supplies and all other office supplies.

9. Uses fingers extensively when using computer keyboard, operating facsimile machine, preparing outgoing mail, operating copy machine and filing business records.

10. Must be able to have corrected vision to:

a) Prepare and organize business records for filing and file them appropriately in file drawers.

b) Read from materials in order to input them into computer.

c) Detect problems or malfunctions in machines and equipment.

d) Be aware of surrounding and locations of items needed.

e) Perform various other job duties.

11. Must be able to have corrected hearing to listen to:

a) Incoming telephone calls in order to handle and/or route them appropriately.

b) Visitor’s needs in order to greet them appropriately.

c) Facsimile machine to ascertain when facsimile are coming in and when outgoing facsimiles have been successfully transmitted or have errors, requiring attention and retransmission.

d) Other machines and equipment in order to detect problems or malfunctions.

e) Needs and advice from managers and co-workers.

f) The environment to be aware of surroundings.

12. Must be capable of understanding and remembering oral instructions, requests and details from managers, co-workers and customers, and remembering faces and names of customers and visitors.

13. Must be capable of effectively communicating with managers, co-workers, customers, vendors, and visitors. Communication is in person and over the telephone.

14. Should have knowledge, or ability to use, the following machines and/or equipment: telephone, computer, postage machine, facsimile machine, copier, and various other office equipment and/ or supplies.

15. Must be alert and able to identify hazards, should one occur, in order to avoid it, by reporting immediately or, if directed, by taking corrective measures.

1. High school diploma or the equivalent.

2. Some knowledge of bookkeeping helpful.

3. Good comprehension of basic math.

4. Good telephone skills.

Job Type: Full-time

Pay: $17.00 - $20.00 per hour

Benefits:

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

Application Question(s):

• Have you ever verified insurance for Medicare/Medicare replacement plans for skilled nursing facilities?
  

Experience:

• SNF Insurance Verification: 1 year (Required)
  

Ability to Commute:

• West, TX 76691 (Required)
  

Ability to Relocate:

• West, TX 76691: Relocate before starting work (Required)
  

Work Location: In person