Insurance Verification Specialist

Job Description

Job Description

Insurance Verification Specialist

Position Overview

The Insurance Verification Specialist plays a vital role in supporting the financial health and operational efficiency of Genesis PrimeCare by ensuring accurate and timely verification of patient insurance coverage prior to services. This position is responsible for confirming eligibility, benefits, network participation, and designation of the health center as the patient’s primary care provider (PCP), while proactively addressing any discrepancies that could delay care or reimbursement.

The specialist obtains and tracks prior authorizations for procedures, medications, and referrals, coordinates closely with clinical and billing teams to prevent denials, and maintains accurate documentation within the electronic health record (EHR). This role also serves as a resource for patients by explaining coverage details, assisting with PCP changes, and helping resolve insurance-related issues to ensure uninterrupted access to care.

Working collaboratively with front desk, clinical, billing, and coding staff, the Insurance Verification Specialist helps maintain a seamless patient workflow and supports compliance with all federal, state, and organizational requirements. Strong communication, attention to detail, and customer service skills are essential to ensure patients receive high-quality, accessible care while safeguarding the health center’s revenue cycle.

Qualifications

Required:

• High School Diploma or GED

Preferred:

• Associates degree or relevant certification in healthcare administration, medical billing, or related field.
• Two years experience in insurance verification, medical billing, or a similar role in a healthcare setting, preferably in an FQHC or community health center.

Benefits

At Genesis PrimeCare, we value our team members and offer a comprehensive benefits package, including:

• Competitive pay
• Medical, dental, and vision insurance
• Paid time off (PTO) and holidays
• 403(b) Retirement savings plan
• Incentive & merit compensation programs

Who We Are

• At Genesis PrimeCare , our mission is to positively impact the health and well-being of the communities we serve. As a non-profit, Federally Qualified Health Center (FQHC) , we are committed to being the primary source for our patients’ healthcare needs —from birth through geriatric care.
• Our vision is to establish Genesis PrimeCare as both a healthcare provider and employer of choice , upholding our uncompromising values of professionalism, responsibility, and excellence in every service we provide. With a patient-centered focus, we strive to deliver quality, accessible care that truly makes a difference in the lives of those we serve.