Insurance Verification Specialist

We are seeking anInsurance Verification Specialist,sometimes referred to as aClinicInsurance VerifierandFinancial Counselorat Dallas Regional Medical Center Ourpatient Clinic in Flower Mound. TheInsurance Verification SpecialistorInsurance Verifier/Financial Counselor verifies patient insurance eligibility and benefits,determinesfinancial responsibility, and communicates this to patients before procedures.The Clinic Insurance Verifierassistpatients with payment arrangements andrefereligible individuals toassistanceprograms or discounts. Additionally,Insurance Verifierscollaborate with Case Management to secure necessary authorizations andmaintainclear communication throughout the process.Shift’s Available: DaysEmployment Type:Full-TimeHours:8-hour - 8:00 a.m. to 5:00 p.m. M-Th; 8:00 a.m.-1:00 p.m. on FridayLocation: Flower MoundHere are some of the benefits of working atPrime Healthcare:Health, dental, and vision insurance optionsPaid vacation, sicktimeand holidaysBereavement leave, FMLA and other leave optionsEmployer 401K optionsTuition reimbursement optionsLife, disability, and other insurance optionsMany other amazing benefitsEssential Duties and Responsibilities (includes, but not limited to):Verify patients’ insurance coverage and benefits thoroughly prior to clinic admission or scheduled procedures to ensureaccuratebilling and eligibilityAssess anddeterminepatientfinancial responsibilitybased on insurance details and communicate this information clearly to both patients and hospital staffCoordinate the pre-authorization and insurance approval process to ensure all necessary approvals are secured before services are providedMaintain and updateaccuratepatient insurance and demographic information within the hospital’s electronic health record system to support smooth admissions and billingGuide andassistpatients in accessing available financialassistanceprograms, answering billing questions, and resolving insurance-related concerns to ease their clinic experience#LI-MK3EDUCATION, EXPERIENCE, TRAINING1. Knowledge of standard insurance companies and verification requirements.2. Well versed in authorization processes for all payers3. Ability to multi-task, prioritize needs to meet required timelines4. Analytical and problem-solving skills5. Customer Services experience required6. High School Graduate or GED Equivalent Required (effective 4/1/14 for all new hires)Full TimeDaysCompany is an equal employment opportunity employer. Company prohibits discrimination against any applicant or employee based on race, color, sex, sexual orientation, gender identity, religion, national origin, age (subject to applicable law), disability, military status, genetic information or any other basis protected by applicable federal, state, or local laws. The Company also prohibits harassment of applicants or employees based on any of these protected categories. Know Your Rights:https://www.eeoc.gov/sites/default/files/2022-10/EEOC_KnowYourRights_screen_reader_10_20.pdf

Created: 2025-11-19