Insurance Verification Specialist

Job not on LinkedIn

🔥 4 minutes ago

🤠 Texas – Remote

🤠 Texas – Remote

💵 $40k - $48k / year

⏰ Full Time

🟡 Mid-level

🟠 Senior

🔒 Insurance

👻 Ghost score 0%

What it means: the chance that no one is really hiring for this job.How to read it: 60% or higher means we think this is a ghost. Lower scores are less of a worry.How we score it: age, reposts, open roles vs team size, how fast jobs close, and whether pay is listed.Fine print: an estimate from public data, not a judgment of the company. Real jobs can score high, so treat it as a hint, not a fact.

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Summit Home Health & Hospice (TX)

WebsiteLinkedInAll Job Openings

51 - 200 employees

Founded 2006

🏥 Healthcare

👥 B2C

Healthcare • B2C

Summit Home Health & Hospice (TX) is a Texas-based provider of in-home medical and end-of-life care. The organization offers physician-managed home health services and hospice care across San Antonio, Corpus Christi and Austin, including skilled nursing, wound care, pain management, medication assistance, and therapy services (physical, occupational, speech). Services may be delivered in patients’ homes or in residential settings, and hospice patients receive bereavement support for families.

📋 Description

• Verify patients’ health insurance eligibility and coverage using payer portals, electronic verification systems, and direct communication with insurance providers • Review member details, policy status, effective dates, applicable coverage, benefits, deductibles, copayments, coinsurance, coverage limitations, and patient financial responsibilities • Identify primary and secondary insurance coverage and coordination-of-benefits requirements • Identify payer-specific requirements, including prior authorization, referrals, and certifications, for home health and hospice services • Coordinate authorization requests and follow up with internal departments • Monitor pending verification and authorization matters and communicate outstanding requirements • Document payer responses, authorization details, reference numbers, and follow-up activities • Escalate complex coverage questions, unresolved discrepancies, and reimbursement concerns • Enter and maintain accurate insurance information in EHRs, billing systems, and approved platforms • Maintain organized documentation and comply with HIPAA privacy and security requirements • Communicate with insurance representatives and admissions, intake, billing, and revenue cycle teams • Provide timely updates on verification outcomes, missing information, and coverage-related delays • Follow verification procedures, documentation standards, and payer guidelines • Assist with quality reviews, audits, and process improvement activities • Stay informed about changes in payer procedures and insurance verification practices • Perform other related responsibilities as assigned

🎯 Requirements

• High school diploma or equivalent • Strong attention to detail and commitment to maintaining accurate records • Good written and verbal communication skills • Basic computer proficiency, including email, internet-based applications, and data entry • Strong organizational skills and ability to manage multiple assignments • Ability to follow established procedures and meet reasonable deadlines • Professional judgment when handling confidential information • Ability to work independently while collaborating effectively with a team • Previous experience in insurance verification, medical billing, patient registration, healthcare administration, or revenue cycle management preferred • Familiarity with health insurance terminology, eligibility verification, and benefits review preferred • Experience with Medicare, Medicaid, Medicare Advantage, commercial insurance, or managed care plans preferred • Knowledge of insurance requirements applicable to home health, hospice, or post-acute care preferred • Experience using electronic health records, billing platforms, or insurance payer portals preferred • Familiarity with HIPAA privacy and security practices preferred

🏖️ Benefits

• Medical, dental, and vision insurance • Paid time off (PTO) • Paid company holidays • Company-sponsored retirement savings plan, such as a 401(k), if offered and applicable • Professional development and job-related training • Career growth opportunities • Collaborative work environment • Employee assistance or wellness resources, if offered under the company’s benefits program

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