Insurance Verification Specialist

Submit your resume today and join us in our commitment to working together to provide a “Best-in-Class” service!

Valora Medical Group is a visionary company focused on high-quality primary care and value-based care and, consists of healthcare providers and professionals dedicated to the health and well-being of our patients. At Valora, we treat our patients like family.

With multiple locations throughout the Dallas-Fort Worth area and our new expansion to central Florida, we understand that providing quality medical care and an exceptional patient experience requires having an outstanding team.

Bilingual in English and Spanish is a plu

Job Summary:

The Insurance Verification Representative is responsible for ensuring all patient account and claim information is accurate, that changes to patient information and claims are processed accurately and timely, and ensures that all patient interactions are courteous, compassionate, and professional.

Essential Duties and Responsibilities:

• Work outstanding claims, denials, appeals, and aging reports to determine the appropriate follow-up action.
• Answering Calls with billing questions
• Collect all information necessary to prepare claims accurately before patients are billed.
• Ensure all scheduled follow-ups with patients and insurance carriers are completed in a timely manner.
• Meet individual and department goals set forth by management.
• Notate all calls, resubmissions, adjustments, and collections in accordance with departmental policies and procedures.
• Communicate with patients regarding delinquent accounts.
• Ensure all necessary documentation and information is correct according to departmental policies and procedures
• Post payments, including both patient and insurance payments.
• Additional duties as assigned by management.

Education/Qualifications:

• High School Diploma or equivalent required
• Bilingual in English and Spanish is highly preferred
• Primary Care billing experience is required
• Minimum of 1 year experience with EMR System E-Clinical Works (eCW) is required
• Must have previous insurance verification experience
• Intermediate experience with Microsoft Office, specifically Excel
• Must have effective written, verbal communication, and interpersonal skills
• Ability to remain professional at all times
• Demonstrates the ability to explain complex information to others
• Ability to establish working relationships, resolve interpersonal conflicts, and apply basic staff etiquette in dealing with others
• Ability to handle confidential information with discretion
• Strong analytical skills with attention to detail
• Ability to learn new procedures and adapt quickly to change
• Ability to multitask and handle a variety of priorities
• Innovative, motivated, organized, and team player
• Proactive and self-starter
• Follow through with commitments

EEO Statement: Valora Medical Group, LLC is an equal opportunity employer and does not discriminate on the basis of race, color, religion, creed, sex, national origin, age, disability, pregnancy status, sexual orientation, gender identity, veteran status, marital status, genetic information, citizenship status, or other status protected by law. In compliance with the Immigration Reform and Control Act of 1986, we will hire only U.S. citizens and aliens lawfully authorized to work in the United States.

Job Type: Full-time

Benefits:

• 401(k)
• 401(k) matching
• Dental insurance
• Disability insurance
• Employee assistance program
• Flexible spending account
• Health insurance
• Health savings account
• Life insurance
• Paid time off
• Referral program
• Vision insurance

Application Question(s):

• What is the pay rate you are looking for?

Education:

• High school or equivalent (Preferred)

Experience:

• eClinicalWorks: 1 year (Preferred)
• Insurance verification: 2 years (Preferred)

Language:

• Spanish (Preferred)

Ability to Relocate:

• Irving, TX 75038: Relocate before starting work (Required)

Work Location: In person