Insurance Verification Specialist
Specialty: ENT (Ear, Nose & Throat) / Sinus Clinic
Location: San Antonio, TX
Employment Type: Contract-to-Hire (800 hours)
Position Overview:
We are seeking a detail-oriented and reliable Insurance Verification Specialist to join a fast-paced specialty clinic. This role is responsible for verifying patient insurance coverage, securing prior authorizations, and ensuring all insurance information is accurate before services are rendered. The ideal candidate will have strong knowledge of insurance plans and a proactive approach to minimizing claim denials while supporting a positive patient experience.
Schedule:
Monday – Friday, 8:00 AM – 5:00 PM
No weekends, no call, no major holidays
Dress Code: Business casual or scrubs
Compensation:
Up to $20/hour (based on experience)
Contract-to-Hire Details:
- Contract-to-hire opportunity after 800 hours worked
- Opportunity to transition into a permanent role based on performance and business needs
Key Responsibilities:
- Verify patient insurance eligibility and benefits through payer portals, phone calls, and electronic systems
- Confirm coverage details including copays, deductibles, coinsurance, and out-of-pocket maximums
- Obtain and track prior authorizations and referrals, including imaging (e.g., CT scans)
- Accurately document insurance information in EMR or practice management systems
- Identify and resolve discrepancies prior to patient appointments or procedures
- Communicate patient financial responsibility clearly and professionally
- Collaborate with scheduling, billing, and clinical teams to ensure accurate patient data
- Assist with denial prevention and follow up on unpaid claims or aging reports
- Provide occasional front office support (patient check-in, payments, scheduling)
- Maintain HIPAA compliance and protect patient confidentiality
Required Qualifications:
- High school diploma or equivalent
- 1–2+ years of experience in insurance verification, pre-authorizations, or a related healthcare role
- Strong understanding of insurance types (HMO, PPO, EPO, Commercial, Government plans including Medicaid)
- Experience with pre-authorizations and benefit determinations
- Ability to interpret benefits (deductibles, coinsurance, out-of-pocket costs) and calculate patient responsibility
- Strong attention to detail, time management, and multitasking skills
Preferred Qualifications:
- Bilingual (Spanish preferred)
- Experience verifying in-office procedures
- Knowledge of claims, denials, and billing processes
- Previous experience in a specialty clinic setting
Key Traits for Success:
- Dependable, punctual, and accountable
- Detail-oriented with strong organizational skills
- Ability to work efficiently in a high-volume environment
- Strong communication skills with patients and internal teams
- Team player with a proactive mindset
Benefits:
- Health insurance
- Dental insurance
- Vision insurance
- Paid time off
Why Apply:
If you’re looking for a stable, team-oriented environment where you can grow your expertise in insurance verification and play a key role in patient care and revenue cycle success, this is a great opportunity to take the next step in your career.
*We will consider for employment all qualified Applicants, including those with criminal histories, in a manner consistent with the requirements of applicable federal, state, and local laws, including the City of Los Angeles' Fair Chance Initiative for Hiring Ordinance (FCIHO), Los Angeles Fair Chance Ordinance for Employers (ULAC), The San Francisco Fair Chance Ordinance (FCO), and the California Fair Chance Act (CFCA).
*As a job position within our Revenue Cycle division, a successful completion of a background check may be required as a condition of employment. This requirement is directly related to essential job functions including but not limited to: accessing financial and confidential information, handling financial and other payment data, and working within departments that care for vulnerable populations, such as, minors, elderly and those with physical or mental disabilities. Due to these job duties, this position has a significant impact on the business operations and reputation, as well as the safety and well-being of individuals who may be cared for as part of the job position or who may interact with staff or clients.
