Insurance Verification / Scheduling Specialist

Responsibilities

• Verify insurance eligibility, benefits, coverage, and medical policy requirements.
• Calculate deductibles, coinsurance, copays, and estimated patient financial responsibility.
• Communicate insurance benefits, payment expectations, and available payment options to patients.
• Complete accurate patient registration and maintain insurance and demographic information.
• Assign appropriate procedural and diagnostic codes for surgical procedures.
• Congratulate and assist patients and visitors while providing a positive patient experience.
• Answer multi-line phones and route calls professionally.
• Provide scheduling support, including communicating case additions, cancellations, and changes.
• Maintain accurate documentation within applicable patient and scheduling systems.
• Partner with clinical and business office teams to support efficient daily operations.

Qualifications

• A high school diploma.
• Working knowledge of surgical routine and medical terminology.
• Possession of a bachelor's degree related to healthcare.
• Preferred certifications: AHIMA or AAPC certification, Registration, Business Office (billing/coding claims), and Health Information Management experience.