Insurance Verification Specialist
: Job Details :

**Candidates will only be considered for this role, if they reside in the Houston, TX area!**

Premier Medical Resources (77040) is hiring for a full-time Insurance Verification Specialist.

The Insurance Verification Specialist is responsible for verifying patient eligibility and insurance plan benefits. The Insurance Verification Specialist will verify coverage via insurance carrier online portal, contacting carrier directly and document findings on patient electronic medical record (EMR).

ESSENTIAL FUNCTIONS:

Verify insurance eligibility for upcoming appointments by utilizing online websites or by contacting the carriers

directly.

Determines patient co-payments and calculates co-insurance and deductibles

Enters insurance coverage (co-payments, deductibles, etc.) accurately into patient EMR.

Assist front office with verification questions or concerns.

Resolves any coverage issues and update patient EMR.

Performs miscellaneous job-related duties as assigned.

KNOWLEDGE, SKILLS, AND ABILITIES:

Broad knowledge of the content, intent, and application of HIPAA, federal and state regulations

Knowledge with in and out of network insurances, insurance verification, patient responsibility, and process for

prior authorization

Requires good communication skills (verbal / written)

Strong attention to details

EDUCATION AND EXPERIENCE:

High School Diploma or GED

One (1) year in a medical office or facility setting

BENEFITS:

• 3 Medical Plans
• 2 Dental Plans
• 2 Vision Plans
• Employee Assistant Program
• Short- and Long-Term Disability Insurance
• Accidental Death & Dismemberment Plan
• 401(k) with a 2-year vesting
• PTO + Holidays

Please visit our website for more information:

www.pmr-healthcare.com

Premier Medical Resources is a healthcare management company headquartered in Northwest Houston, Texas. At Premier Medical Resources, our goal is to leverage and combine the expertise and skillset of our employees to drive quality in all we do. Our goal is to create career pathways for our employees just starting their professional career, and to those who seek to bring their expertise and leadership as we strive to combine best practices and industry excellence. Come join our team at Premier Medical Resources where passion and career meet.

Compensation to be determined by the education, experience, knowledge, skills, and abilities of the applicant, internal equity, and alignment with market data.

Employment for this position is contingent upon the successful completion of a background check and drug screening.