Job Description

Job Title: Insurance Verification Specialist

Location: Houston, TX 77040 (Onsite for first 6 months, then Fully Remote)

Pay Range: $18 – $20 / Hourly

Schedule: Monday – Friday | 8:00 AM – 5:00 PM

Overview:

A growing and well-respected medical group is seeking experienced Insurance Verification Specialists to join their revenue cycle team. This is a direct hire role offering long-term stability, growth potential, and the opportunity to transition to fully remote after 6 months . Candidates must have professional billing (profee) experience and the ability to verify insurance coverage and educate patients on their benefits.

Key Responsibilities:

• Verify patient insurance coverage and benefits using online portals and phone calls
• Accurately enter insurance data into the EMR including copays, deductibles, and co-insurance
• Support front office with verification questions or issues
• Ensure financial clearance and proper authorization before surgical dates
• Identify appropriate insurance plan type (e.g., PPO, HMO, self-pay, workers’ comp)
• Manually calculate patient responsibility amounts and verify CPT/ICD-10 codes
• Serve as a liaison between patients, providers, and billing/coding teams
• Communicate benefit details to patients in a professional, easy-to-understand manner
• Respond to inquiries regarding account coverage and authorization status
• Collaborate with billing teams to prevent denials and ensure accurate claims processing

Must-Have Qualifications:

• 2+ years of insurance verification experience
• Profee (professional billing) experience is required
• Familiarity with CPT and ICD-10 codes
• Ability to explain copays, co-insurance, deductibles, and coverage types to patients
• Experience using payer portals and calculating patient responsibility manually
• Strong working knowledge of insurance plans and payor rules
• Tech-savvy, proficient with Excel and Microsoft Office
• EMR experience (ECW preferred, not required)
• Prior ortho or pain management experience is a plus

Soft Skills:

• Reliable and punctual with excellent attendance
• Strong attention to detail and organizational skills
• Clear verbal and written communication
• Ability to work both independently and in a fast-paced team environment

Compliance Requirements:

• Background check
• Drug screen
• Education and employment verification
• No vaccine requirement

Work Environment & Perks:

• Business casual office setting
• Supportive leadership and established training structure
• 15 days PTO annually (accrued and usable after 90 days)
• 9 paid holidays (including 2 half-days)
• Medical, dental, vision, and life insurance (active the 1st of the month following start)
• 401(k) plan with employer contributions vested after 2 years

Addison Group is an Equal Opportunity Employer. Addison Group provides equal employment opportunities (EEO) to all employees and applicants without regard to race, color, religion, gender, sexual orientation, national origin, age, disability, genetic information, marital status, amnesty, or status as a covered veteran, in accordance with applicable federal, state, and local laws. Reasonable accommodation is available for qualified individuals with disabilities upon request.

IND 004-007

Job Tags

Similar Jobs