Verification Specialist

OVERVIEW:

At Lymphedema Therapy Specialists, Inc. (LTS), we believe our work is more than just a job, it's a calling. Our mission is rooted in a deep commitment to serve our patients and one another with compassion, integrity, and excellence. Everything we do is guided by faith, love, and unity - values that shape our culture and define how we care for others.

We are a team driven by generosity offering our time, talents, and resources wholeheartedly to meet the needs of our patients and community. Excellence matters to us, not only in our clinical care but in every interaction and task, big or small. We listen with empathy, communicate with kindness, and strive to heal lives physically, emotionally, and spiritually.

At LTS, every individual is seen, valued, and empowered. We believe in investing in our people, encouraging both personal and professional growth as each team member steps more fully into their God-given purpose. We honor the unique contributions of our staff, recognizing their work as a blessing to those we serve.

Joining LTS means becoming part of a mission-driven team united by faith and purpose. If you're seeking a role where your work has meaning and your gifts can truly make a difference, you'll find a home here. Welcome to a place where healing happens for our patients, our team, and our community.

We encourage you to visit our website at before applying to learn more about our company, culture, and mission.

JOB SUMMARY:

This position is based at our Katy clinic. Initial training will take place at our Bellfort clinic located at 2385 W. Bellfort St. #100, Houston, TX 77054. Upon successful completion of training, you will transition to our Katy clinic to perform the duties and responsibilities of the role.

At Lymphedema Therapy Specialists, Inc. (LTS), the Verification Specialist plays an essential and mission-aligned role in supporting our commitment to serve patients and one another with excellence, compassion, and integrity. This position is vital to the financial health of our organization and helps ensure that our services remain accessible to those in need of healing and hope.

The Verification Specialist is responsible for verifying insurance benefits, obtaining prior authorizations, and confirming patient eligibility with accuracy and urgency. This role requires precision, professionalism, and a deep sense of service, as it involves frequent interaction with insurance representatives, healthcare providers, and internal team members. Above all, the Verification Specialist must embody a servant mindset - someone who reflects our core values of love, unity, generosity, and excellence in every interaction.

In addition to core verification duties, this position is responsible for documenting all insurance communications clearly in the EHR/EMR system, resolving coverage-related discrepancies, and proactively identifying issues that may delay or prevent patient care. The Verification Specialist collaborates closely with the scheduling, billing, and clinical teams to ensure that all necessary authorizations are in place before services are rendered.

The ideal candidate will demonstrate exceptional organizational skills, a high level of attention to detail, clear and compassionate communication, and a genuine passion for removing obstacles that prevent patients from receiving the care they need. If you're inspired by the opportunity to serve others through diligent and purpose-driven administrative work, this role offers a meaningful way to contribute to a team that brings healing and hope every day.

JOB DUTIES AND RESPONSIBILITIES:

• Verify insurance benefits and eligibility for all scheduled services to ensure accurate coverage and minimize delays in patient care.
• Obtain prior authorizations and referrals as required by insurance payers, following up diligently to secure approvals in a timely manner.
• Communicate with insurance companies via phone, online portals, and written correspondence to clarify benefits and resolve authorization issues.
• Accurately enter and update insurance information and verification details in the EHR/EMR system and billing software.
• Review payer policies and requirements to ensure compliance with authorization and documentation guidelines.
• Collaborate with front office staff, clinicians, and billing team members to coordinate patient scheduling and ensure all insurance-related requirements are met prior to treatment.
• Interpret insurance coverage details and explain patient financial responsibility with clarity and compassion.
• Maintain detailed and timely documentation of all verification activities, payer communications, and authorization outcomes.
• Identify and escalate patterns of denials, coverage issues, or payer delays that may impact access to care or reimbursement.
• Support a seamless patient experience by proactively identifying and resolving insurance-related barriers before a patient's visit.
• Maintain confidentiality of patient information at all times, in accordance with HIPAA and organizational standards.
• Stay current with insurance payer policies, industry regulations, and medical coding updates relevant to verification and authorizations.
• Participate in regular team meetings, training sessions, and strategy planning within the Revenue Cycle Department.
• Share insights and best practices with colleagues to improve department efficiency and outcomes.
• Contribute to a team culture centered around problem-solving, integrity, and a shared mission to support patient care through effective revenue stewardship.
• Demonstrate alignment with the spiritual mission of LTS by modeling compassion, service, humility, and excellence in every interaction.
• Execute various tasks, as assigned by your manager, supervisor, or company officer, whether within your standard duties or as requested beyond regular responsibilities.

QUALIFICATIONS

Education & Licensure:

• High School Diploma or equivalent.
• Associate's or Bachelor's degree in Business Administration, Finance, or a related field is preferred but not required.

Work Experience:

• 3-5+ years of experience in medical insurance verification or a similar role within a healthcare billing or revenue cycle environment strongly preferred.
• Proven experience using Electronic Health Records (EHR) and Practice Management software required; ability to navigate systems efficiently and accurately is essential.
• Background in insurance verification and billing processes is highly preferred, including familiarity with payer policies, coverage requirements, and claims workflows.
• Experience with AdvancedMD software is a strong plus.

Skills:

• Strong verbal and written communication skills; able to interact professionally with patients, families, payers, and healthcare team members.
• Highly organized with exceptional attention to detail and accuracy in managing patient accounts and documentation.
• Proven ability to prioritize tasks, manage multiple responsibilities, and meet deadlines in a high-volume, fast-paced environment.
• Solid understanding of HIPAA and other relevant healthcare regulations; committed to maintaining confidentiality and ethical standards.
• Works well in a team-oriented environment; collaborates effectively with peers and leadership to achieve department goals.
• Flexible and responsive to changing priorities; maintains composure and professionalism under pressure.
• Alignment with the mission, vision, and core values of LTS, including integrity, service, and excellence.

Physical Requirements:

• Prolonged periods of sitting at a desk and working on a computer (typically 6-8 hours per day).
• Frequent use of hands and fingers for data entry, typing, and handling paperwork.
• Visual acuity required to read and interpret printed and electronic documents, insurance forms, and billing codes.
• Hearing ability to effectively communicate via phone and in person with patients, team members, and insurance representatives.
• Occasional reaching, bending, or lifting of lightweight office supplies, files, or equipment (typically up to 10-15 lbs).
• Manual dexterity to operate office equipment such as computers, printers, copiers, phones, and calculators.
• Ability to maintain focus and attention to detail for extended periods, especially when reviewing patient, financial, and billing records.
• Mobility to move around the office to retrieve files, interact with coworkers, or attend meetings.

Tools and Equipment Used:

Technology & Administrative Tools:

• Electronic Health Record (EHR) systems (e.g., AdvancedMD)
• Practice Management Systems (PMS) for billing and scheduling
• Insurance Payer Portals for claim submissions, verifications, and appeals
• Clearinghouse platforms (e.g., Availity, Waystar) for claim submissions and remittance tracking
• Desktop and laptop computers, tablets
• Office equipment: printers, phones, fax, scanners

Position Classification:

• This is an hourly, non-exempt position and is eligible for overtime pay.
• Compensation is competitive and commensurate with experience, credentials, and qualifications.
• Additional benefits may include paid time off, health insurance, professional development support, and other offerings consistent with company policy.

Benefits:

• Competitive salary
• Health, dental, and vision insurance
• 401(k) with company match
• Paid time off (vacation, sick leave, and holidays)
• Professional development and training support
• Employee assistance program (EAP)

Lymphedema Therapy Specialists, Inc. is an equal opportunity employer and complies with all applicable federal, state, and local laws. This includes, but is not limited to, compliance with the Americans with Disabilities Act (ADA), ADA Amendments Act (ADAAA), Fair Labor Standards Act (FLSA), and Title VII of the Civil Rights Act of 1964. We are committed to creating a respectful, inclusive, and safe work environment for all employees.