Medical Insurance Verification Specialist

Medical Insurance Verification Specialist Tulsa, OK | Full-Time | Monday - Friday | $18.00 - $22.00/Hour DOE

• Verify patient insurance eligibility, benefits, and coverage prior to appointments or procedures.
• Contact insurance carriers to confirm active coverage, deductibles, co-pays, co-insurance, and out-of-pocket responsibilities.
• Identify authorization and referral requirements and communicate any outstanding needs to the appropriate staff.
• Accurately document insurance information and verification details within the electronic medical record (EMR) and practice management system.
• Obtain and monitor prior authorizations as required by insurance carriers.
• Communicate insurance benefits and financial responsibilities to patients in a professional and compassionate manner.
• Resolve insurance discrepancies by working with patients, providers, and insurance companies.
• Maintain current knowledge of payer guidelines, insurance plans, and reimbursement policies.
• Collaborate with scheduling, billing, clinical staff, and providers to ensure timely patient care.
• Maintain HIPAA compliance and patient confidentiality at all times.
• Assist with additional front office or revenue cycle responsibilities as assigned.

• High school diploma or GED required.
• Minimum of one year of medical insurance verification, medical billing, patient access, or related healthcare experience preferred.
• Knowledge of commercial insurance, Medicare, Medicaid, and managed care plans.
• Experience verifying benefits through payer portals and by telephone.
• Understanding of prior authorizations, referrals, deductibles, co-pays, and insurance eligibility requirements.
• Experience with electronic medical records (EMR) and practice management software preferred.
• Strong computer proficiency, including Microsoft Office applications.
• Excellent organizational skills with exceptional attention to detail.
• Ability to prioritize multiple tasks in a fast-paced medical office.
• Outstanding verbal and written communication skills.
• Professional, dependable, and patient-focused attitude.

• Experience in a specialty medical practice.
• Knowledge of medical terminology and basic revenue cycle processes.
• Familiarity with Epic, Next Gen, eClinical
  
  Works, Greenway, Athenahealth, or other EMR systems.

• Competitive Pay
• Medical, Dental, and Vision Insurance
• Paid Time Off (PTO)
• Paid Holidays
• 401(k) with Company Match
• Life Insurance
• Opportunities for Growth and Advancement
• Supportive Team Environment

TRINITY EMPLOYMENT SPECIALISTS IS AN EQUAL OPPORTUNITY EMPLOYER