Clinic Insurance Verifier
Harlingen Rio Grande Medical Group
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Clinic Insurance Verifier
Facility
Harlingen Rio Grande Medical Group
Location
US-TX-Harlingen
ID
2026-270626
Category
Admin
Position Type
Full Time
Shift
Days
Job Type
Non-Exempt
Overview
We are seeking an Clinic Insurance Verifier, sometimes referred to as a Hospital Insurance Verifier and Financial Counselor in our Pain Management Clinic. The Insurance Verification Specialist or Insurance Verifier/Financial Counselor verifies patient insurance eligibility and benefits, determines financial responsibility, and communicates this to patients before procedures. The Insurance Verifier assist patients with payment arrangements and refer eligible individuals to assistance programs or discounts. Additionally, Insurance Verifiers collaborate with Case Management to secure necessary authorizations and maintain clear communication throughout the process.Shift’s Available: Days Employment Type: Full-TimeHours: 8-hour shiftsLocation:The Center for Pain Relief - 1713 Treasure Hills Blvd Ste 2D Harlingen, TX 78550 Here are some of the benefits of working at Prime Healthcare:Health, dental, and vision insurance optionsPaid vacation, sick time and holidaysBereavement leave, FMLA and other leave optionsEmployer 401K optionsTuition reimbursement options Life, disability, and other insurance optionsMany other amazing benefitsFull benefits at Prime Healthcare: https://www.primehealthcare.com/careers/benefits/
Responsibilities
Essential Duties and Responsibilities (includes, but not limited to):Verify patients’ insurance coverage and benefits thoroughly prior to hospital admission or scheduled procedures to ensure accurate billing and eligibilityAssess and determine patient financial responsibility based 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 update accurate patient insurance and demographic information within the hospital’s electronic health record system to support smooth admissions and billingGuide and assist patients in accessing available financial assistance programs, answering billing questions, and resolving insurance-related concerns to ease their hospital experience
Qualifications
Before we go any further, we do have some deal-breakers. You must have: Education and Work ExperienceKnowledge of standard insurance companies and verification requirements.Well versed in authorization processes for all payers.Ability to multi-task, prioritize needs to meet required timelines.Analytical and problem-solving skills.
Employment Status
Full Time
Shift
Days
Equal Employment Opportunity
Company 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 #LI-JC5
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