Insurance Verification Specialist

Job Description

Job Description

Title : Hospital Insurance Verification Specialist

Pay: $22 – $24 per hour

Job Type: Contract-to-Hire

Location: Dallas, TX (On-site role)

Benefits: This position is eligible for Medical, Dental, Vision, and 401K benefits.

About the Role

Addison Group is seeking a detail-oriented Hospital Insurance Verification Specialist for our client in a surgical hospital setting. This position involves verifying patient benefits, calculating payer allowables, and determining patient responsibility for inpatient and outpatient procedures.

Key Responsibilities

• Verify patient insurance benefits by contacting carriers and interpreting managed care contracts.
• Calculate payer allowables and patient responsibility for surgeries, radiology, and implant cases.
• Confirm pre-certification requirements and ensure authorizations are complete.
• Review and update patient information for accuracy in the system.
• Communicate patient estimates and collect payments prior to procedures.
• Document all verification details in the patient accounting system.
• Collaborate with scheduling, clinical staff, and other departments to ensure smooth pre-admission processes.
• Maintain professionalism and adhere to hospital policies regarding confidentiality, safety, and compliance.

Qualifications

• Minimum 1 year of experience in hospital insurance verification (not front desk).
• Familiarity with payer allowables, EOBs, deductibles, and coinsurance.
• Experience with tools such as Availity and authorization platforms
• Knowledge of Cerner or similar patient accounting systems preferred.
• Strong attention to detail and ability to handle high-volume verification (25–30 cases/day).

Addison Group is an Equal Opportunity Employer. Addison Group provides equal employment opportunities (EEO) to all employees and applicants for employment 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. Addison Group complies with applicable state and local laws governing non-discrimination in employment in every location in which the company has facilities. Reasonable accommodation is available for qualified individuals with disabilities, upon request.  

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