Insurance Verification Specialist

Responsibilities

• Verifies patient benefits and insurance eligibility to update registration and coverage information.
• Handles telephone eligibility support.
• Participates in quality control and solution recommendation, including notification to management team of process issues.
• Handles incoming patients and Clinic questions regarding patient copays, deductible, and coinsurance coverage and eligibility.
• Adds and updates all commercial and governmental payers.
• Obtains referral/authorization for scheduled patients.
• Reviews charge review for registration errors and updates for accurate and timely billing.
• Reviews new and follow-up patient registration, obtains and manages referrals, and advises on co-pays and deductibles.
• Contacts PCP and/or Clinic to coordinate and obtain accurate and current referral documentation, once confirming patients have established care.
• Collaborates with UHS referral team and has in-depth knowledge of registration access tools.
• Effectively navigates between multiple verification tools to obtain thorough eligibility and benefits material.
• Maintains current production standards to resolve outstanding claims and maintain a healthy accounts receivable.
• Completes other duties as assigned.

Qualifications

• Some knowledge of patient billing or collection/reimbursement procedures.
• Detail-oriented with the ability to organize, prioritize, and coordinate work within schedule constraints and handle emergent requirements in a timely manner.
• Ability to multi-task in a fast-paced, high-volume environment.
• Proficient in Microsoft Office.
• Epic experience.

About the Role

The University of Texas at San Antonio (UT San Antonio) is a nationally recognized, top-tier public research university that unites the power of higher education, biomedical discovery, and healthcare within one visionary institution. As the third-largest research university in Texas and a Carnegie R1-designated institution, UT San Antonio serves approximately 42,000 students in 320 academic programs spanning science, engineering, medicine, health, liberal arts, AI, cybersecurity, business, education, and more. With 17,000 faculty and staff, UT San Antonio has been recognized by Forbes as one of America's Best Employers for Company Culture.

Benefits

• Medical: UT SELECT Medical insurance is offered free for employees and administered by Blue Cross and Blue Shield of Texas. Family members can be added to the plan through payroll deduction. Employees and their dependents can receive discounted copays and coinsurance when using UT Health Physicians, a network of 800 premier physicians including more than 100 specialists. Employees receive $50,000 of group term life insurance and $50,000 of basic accidental death and dismemberment insurance for free, with options to purchase additional employee and dependent coverage for both at group rates.
• Dental: Three dental insurance plan options are available for employees and their families through Delta Dental Insurance Company, two PPOs and one dental HMO plan. Both PPO plans allow employees to choose any licensed dentist.
• Vision: Fully insured Vision Care benefits are offered by Superior Vision Services. Two vision plan options that offer either standard or enhanced vision benefits.
• Disability: Employees can enroll in the Disability Insurance which provides income if a non-work-related illness or injury prevents you from working.
• FSAs: Employees can enroll in flexible spending accounts (FSAs) to set aside money from earnings before taxes for qualifying dependent day care expenses or out-of-pocket health care expenses.
• Retirement: Employees are eligible for either the Teacher Retirement System (TRS) or the Optional Retirement Plan (ORP). TRS is a defined benefit retirement plan which UT Health matches employee contributions. ORP is for eligible faculty staff employees. Voluntary retirement programs are also available to invest before- or after-tax dollars with the choice of five quality retirement plan providers.
• Time Off: A generous leave program offers multiple paid leave options: Front-loaded Paid Time Off: 128 to 208 hours (16 to 26 days) of Paid Time Off based on years of service, given at the start of each fiscal year. PTO may be prorated in year one based on date of hire. Extended Illness Bank: 8 hours (1 day) accrued per month which can be used for illness or injury after one day of Paid Time Off is taken. Paid Family Leave: Up to 240 hours (6 weeks) to care for a spouse, child, or parent after 6 months of consecutive employment. Holidays: 12 set paid holidays each year.
• Discounts: Employees enjoy a range of discounts on services, tickets, and gym membership.

EEO Statement

UT Health San Antonio is an equal employment opportunity and affirmative action employer. It is our policy to promote and ensure equal employment opportunity for all individuals without regard to race, color, religion, sex, gender identity, national origin, age, sexual orientation, disability, or veteran status.