Insurance Verification Specialist

We need to output HTML fragment with sections: headings

for each section present: About the role, Responsibilities, Requirements, Qualifications, Skills, Benefits, Pay, Schedule. We must only include sections that have real specific content. We must not repeat job title. Must not include Job ID etc. Must remove boilerplate, navigation, legal, EEO, duplicated lines, application instructions. Must preserve all substantive info. We need to parse the posting. Key info: Location: Onsite Schedule: Monday - Friday, 8:30 AM - 5:00 PM Employment Type: Full-Time Contract Position Overview ... Actually "Position Overview" is like About the role. We need sections: - About the role: from "Position Overview" paragraph: "We are seeking an experienced Patient Access Representative to join our Sub Acute Admissions Department . This role is responsible for supporting the patient admissions process by verifying insurance coverage, securing authorizations, collecting patient demographic and medical information, and ensuring accurate patient account reimbursement. The ideal candidate will have a strong hospital-based healthcare background, exceptional customer service skills, and experience navigating insurance verification and authorization processes." Also maybe "What Makes a Successful Candidate?" could be part of About the role or Requirements? But we can treat as part of About the role or maybe separate "Qualifications"? Actually "What Makes a Successful Candidate?" lists attributes: Strong attention to detail..., ability to communicate..., problem-solving mindset..., commitment..., ability to navigate complex insurance... This could be part of "Qualifications" or "Skills". But we have separate sections for Requirements, Qualifications, Skills. The posting includes "Required Qualifications" and "Preferred Qualifications". Also "Key Responsibilities". Also "Compliance Requirements". Also "Pay And Benefits". Also "Workplace Type". Also "Schedule". Also "Location". Also "Employment Type". Also "Job Type & Location". Also "Application Deadline". Also "About TEKsystems" etc (boilerplate). We need to remove boilerplate. We need to include sections only if they have real specific content. Let's extract: Schedule: "Monday - Friday, 8:30 AM - 5:00 PM". Also "Location: Onsite". Also "Employment Type: Full-Time Contract". Also "Workplace Type: This is a fully onsite position in San Pedro,CA." So schedule and location can be combined maybe under Schedule section? The instruction: Use

for section headings (e.g. About the role, Responsibilities, Requirements, Qualifications, Skills, Benefits, Pay, Schedule). So we have a Schedule heading. Should we include location there? Could include location in a short paragraph under Schedule or maybe separate? There's no separate heading for Location. Could embed location in Schedule paragraph or maybe under About the role? Probably better to include location and schedule under Schedule section: mention "Onsite, Monday - Friday, 8:30 AM - 5:00 PM". Also employment type maybe also there? Could include "Full-Time Contract". But maybe better to have a short paragraph under Schedule that includes location, schedule, employment type. Pay: "The pay range for this position is $24.00 - $24.00/hr." That's a specific pay (single value). So we include Pay section with that. Benefits: list of benefits: Medical, dental & vision; Critical Illness, Accident, and Hospital; 401(k) Retirement Plan – Pre-tax and Roth post-tax contributions available; Life Insurance (Voluntary Life & AD&D for the employee and dependents); Short and long-term disability; Health Spending Account (HSA); Transportation benefits; Employee Assistance Program; Time Off/Leave (PTO, Vacation or Sick Leave). Also note eligibility etc. We'll include Benefits section with that list. Responsibilities: from "Key Responsibilities" bullet list (though not bullet but sentences). We'll extract each duty as list items. Responsibilities list: - Verify patient insurance coverage and determine eligibility for services. - Identify and obtain required authorizations and referrals for treatment. - Utilize EPIC to complete patient intake, update records, and verify demographic information. - Authorize patient admissions and bed placements. - Process claims, request authorizations, and attach referral documentation. - Determine services requiring prior authorization and ensure compliance with payer requirements. - Verify and accurately document insurance plans, including: HMO vs. PPO plans, Medicare, Medicaid. - Collect copayments and educate patients regarding financial responsibility and shared costs. - Communicate with case managers, physician offices, healthcare facilities, and internal departments to coordinate patient admissions. - Support multiple locations and collaborate with remote departments as needed. - Provide outstanding customer service to patients, families, and healthcare professionals both by phone and in person. - Apply medical terminology knowledge to accurately process patient information and admissions documentation. We need to ensure we preserve all substantive info. Requirements: maybe "Required Qualifications" and "Preferred Qualifications". Also "Compliance Requirements". The instruction: Use headings Requirements, Qualifications, Skills. We need to decide mapping. We have "Required Qualifications" list: - Minimum 3 years of healthcare experience in a hospital setting. - Strong experience with insurance verification, patient registration, admissions, and authorizations. - Knowledge of Medicare, Medicaid, HMO, PPO, and other insurance products. - Experience working with patient demographics, referrals, and claims processing. - Excellent communication and customer service skills. - Familiarity with medical terminology. - Ability to multitask in a fast-paced healthcare environment. "Preferred Qualifications": - Experience using EPIC. - Skilled Nursing Facility (SNF) experience. - Bilingual in Spanish. - Previous experience within admissions, patient access, registration, or revenue cycle operations. "Compliance Requirements": All Candidates Must Successfully Complete background Check, Drug Screen, Medical Screening, Seasonal Flu Vaccine (when applicable). Also "What Makes a Successful Candidate?" list: Strong attention to detail and accuracy; Ability to effectively communicate with patients, physicians, case managers, and internal stakeholders; Problem-solving mindset with excellent organizational skills; Commitment to delivering exceptional patient and customer service experiences; Ability to navigate complex insurance and authorization requirements. We could map: - Requirements: maybe the mandatory items: Required Qualifications + Compliance Requirements? Or we could put Required Qualifications under Requirements, Preferred Qualifications under Qualifications, and Skills under Skills (maybe from What Makes a Successful Candidate? plus some skills like communication, medical terminology, multitasking). But we need to avoid duplication. Better: Use headings as per typical job posting: About the role, Responsibilities, Requirements, Qualifications, Skills, Benefits, Pay, Schedule. Thus: - About the role: Position Overview paragraph. - Responsibilities: Key Responsibilities list. - Requirements: Required Qualifications + Compliance Requirements? Could also include "What Makes a Successful Candidate?" maybe as Skills. - Qualifications: Preferred Qualifications. - Skills: What Makes a Successful Candidate? plus maybe some skills like communication, medical terminology, ability to multitask (but those already in Required Qualifications). To avoid duplication, we can put the "What Makes a Successful Candidate?" as Skills. - Benefits: list. - Pay: pay range. - Schedule: location, schedule, employment type. We must not repeat job title. Also we must not include boilerplate like About TEKsystems, equal opportunity, etc. We must not include application instructions, deadline, etc. The posting includes "Application Deadline This position is anticipated to close on Sep 25, 2026." That's application instruction; we should remove. Also "Job Type & Location This is a Contract position based out of San Pedro, CA." That's duplicate; we can incorporate location and employment type into Schedule section. Also "Workplace Type This is a fully onsite position in San Pedro,CA." duplicate. Also "If you are an experienced healthcare professional ... we encourage you to apply today." That's application encouragement; remove. Also "About TEKsystems" etc remove. Now produce HTML fragment. Structure:

About the role

We are seeking an experienced Patient Access Representative to join our Sub Acute Admissions Department. This role is responsible for supporting the patient admissions process by verifying insurance coverage, securing authorizations, collecting patient demographic and medical information, and ensuring accurate patient account reimbursement. The ideal candidate will have a strong hospital-based healthcare background, exceptional customer service skills, and experience navigating insurance verification and authorization processes.

Responsibilities

• Verify patient insurance coverage and determine eligibility for services.
• Identify and obtain required authorizations and referrals for treatment.
• Utilize EPIC to complete patient intake, update records, and verify demographic information.
• Authorize patient admissions and bed placements.
• Process claims, request authorizations, and attach referral documentation.
• Determine services requiring prior authorization and ensure compliance with payer requirements.
• Verify and accurately document insurance plans, including HMO vs. PPO plans, Medicare, Medicaid.
• Collect copayments and educate patients regarding financial responsibility and shared costs.
• Communicate with case managers, physician offices, healthcare facilities, and internal departments to coordinate patient admissions.
• Support multiple locations and collaborate with remote departments as needed.
• Provide outstanding customer service to patients, families, and healthcare professionals both by phone and in person.
• Apply medical terminology knowledge to accurately process patient information and admissions documentation.

Requirements

• Minimum 3 years of healthcare experience in a hospital setting.
• Strong experience with insurance verification, patient registration, admissions, and authorizations.
• Knowledge of Medicare, Medicaid, HMO, PPO, and other insurance products.
• Experience working with patient demographics, referrals, and claims processing.
• Excellent communication and customer service skills.
• Familiarity with medical terminology.
• Ability to multitask in a fast-paced healthcare environment.
• Must successfully complete background check, drug screen, medical screening, and seasonal flu vaccine (when applicable).

Qualifications

• Experience using EPIC.
• Skilled Nursing Facility (SNF) experience.
• Bilingual in Spanish.
• Previous experience within admissions, patient access, registration, or revenue cycle operations.

Skills

• Strong attention to detail and accuracy.
• Ability to effectively communicate with patients, physicians, case managers, and internal stakeholders.
• Problem-solving mindset with excellent organizational skills.
• Commitment to delivering exceptional patient and customer service experiences.
• Ability to navigate complex insurance and authorization requirements.

Benefits

• Medical, dental & vision
• Critical Illness, Accident, and Hospital
• 401(k) Retirement Plan – Pre-tax and Roth post-tax contributions available
• Life Insurance (Voluntary Life & AD&D for the employee and dependents)
• Short and long-term disability
• Health Spending Account (HSA)
• Transportation benefits
• Employee Assistance Program
• Time Off/Leave (PTO, Vacation or Sick Leave)

Pay

The pay range for this position is $24.00 - $24.00/hr.

Schedule

Onsite position in San Pedro, CA; Monday - Friday, 8:30 AM - 5:00 PM; Full-Time Contract.

Check for any repeated info: We have location and schedule combined. Good. We must ensure we didn't include any boilerplate like "EEO", "equal opportunity", etc. We removed. Check that we didn't include any placeholder like "commensurate with