Insurance Verification Specialist

About Summit Home Health & Hospice

At Summit Home Health & Hospice, we understand that compassionate healthcare involves more than the services delivered to patients. It also requires a dedicated team of professionals who help ensure that the administrative and financial aspects of care are handled accurately, efficiently, and with respect.

Our team values professionalism, collaboration, accountability, and a patient-centered approach. We recognize the important role that accurate insurance verification plays in supporting care coordination and helping patients access the services they need.

We are committed to fostering a respectful and collaborative work environment where team members can contribute meaningfully to our operations and the overall patient experience.

About the Position

Summit Home Health & Hospice is seeking a dependable, detail-oriented, and motivated Insurance Verification Specialist to join our administrative team in San Antonio, Texas.

In this role, you will help ensure that patients’ insurance information is verified, documented, and maintained accurately. You will review insurance eligibility and benefits, identify coverage requirements, assist with authorization coordination, and communicate with insurance providers and internal departments to resolve discrepancies.

Working closely with admissions, intake, billing, and other designated team members, you will help support an organized and efficient insurance verification process while contributing to accurate patient records and timely administrative coordination.

The ideal candidate is someone who takes pride in their work, communicates professionally, respects patient confidentiality, and understands the importance of accuracy in a healthcare environment. We welcome applicants with relevant healthcare administrative experience who are eager to contribute to a collaborative team.

Key Responsibilities

Insurance Eligibility and Benefits Verification

* Verify patients’ health insurance eligibility and coverage using payer portals, electronic verification systems, and direct communication with insurance providers.

* Review insurance information to confirm member details, policy status, effective dates, and applicable coverage.

* Identify primary and secondary insurance coverage, as well as coordination-of-benefits requirements, when applicable.

* Review benefit information, including deductibles, copayments, coinsurance, coverage limitations, and other applicable patient financial responsibilities.

* Identify payer-specific coverage requirements related to home health and hospice services.

* Recognize incomplete, inaccurate, or conflicting insurance information and take appropriate steps to resolve discrepancies.

* Complete assigned verification requests within established departmental timelines.

Authorization and Coverage Coordination

* Identify prior authorization, referral, certification, and other payer requirements applicable to the requested services.

* Coordinate with appropriate internal departments to facilitate required authorization requests and follow-up.

* Monitor pending verification and authorization matters and communicate outstanding requirements to the appropriate team members.

* Document payer responses, authorization details, reference numbers, and follow-up activities accurately.

* Escalate complex coverage questions, unresolved discrepancies, and potential reimbursement concerns to the appropriate supervisor or designated department.

* Ensure that verification findings are communicated clearly without representing unconfirmed coverage as guaranteed payment.

Documentation and Data Accuracy

* Enter and maintain accurate insurance information in the designated electronic health record (EHR), billing system, or other approved platform.

* Ensure verification records contain relevant dates, payer information, benefit details, reference numbers, and follow-up notes.

* Review patient insurance records for completeness and accuracy.

* Maintain organized documentation in accordance with company procedures and applicable requirements.

* Handle protected health information responsibly and follow HIPAA privacy and security requirements.

Communication and Team Collaboration.

* Communicate professionally with insurance representatives and authorized internal personnel regarding eligibility, benefits, and coverage requirements.

* Work collaboratively with admissions, intake, billing, and revenue cycle team members to address insurance-related concerns.

* Provide timely updates regarding verification outcomes, outstanding information, and potential coverage-related delays.

* Respond to requests for insurance-related information in a courteous, clear, and timely manner.

* Contribute to a cooperative work environment by supporting shared departmental goals and maintaining professional working relationships.

Quality Assurance and Administrative Support

* Follow established verification procedures, documentation standards, and applicable payer guidelines.

* Maintain consistent attention to detail when reviewing and entering insurance information.

* Assist with internal quality reviews, audits, and process improvement activities as assigned.

* Stay informed about relevant changes in payer procedures and insurance verification practices.

* Perform other related responsibilities consistent with the position and departmental needs.

Relevant healthcare experience is preferred but may not be required for candidates who demonstrate strong administrative skills, attention to detail, and a willingness to learn.

What We’re Looking For

We are looking for someone who approaches their responsibilities with care, professionalism, and accountability. The successful candidate will be comfortable communicating with different departments, managing detailed insurance information, and following through on outstanding requests.

You should be organized, dependable, receptive to feedback, and able to maintain accuracy while working in a healthcare administrative setting. A genuine interest in supporting patients and contributing to an efficient healthcare operation will be valuable in this position.

Compensation and Benefits

Compensation will be determined based on relevant experience, qualifications, and the approved compensation range for the position.

Annual Salary Range: $40,000 approved minimum] – $48,00 approved maximum.

Eligible employees may receive company-sponsored benefits in accordance with the applicable benefit plans and employment policies.

Include only benefits confirmed by the employer:

* Medical, dental, and vision insurance.

* Paid time off (PTO) and applicable company holidays.

* Retirement savings plan, if offered.

* Professional development and job-related training.

* Other company-approved employee benefits.

Equal Employment Opportunity.

Summit Home Health & Hospice is committed to fair and equitable employment practices. All qualified applicants will be considered in accordance with applicable federal, state, and local employment laws.

Employment decisions are based on job-related qualifications, relevant experience, skills, and business needs. Reasonable accommodations will be provided to qualified individuals with disabilities as required by applicable law.

How to Apply.

If you are organized, detail-oriented, and interested in contributing to the administrative operations of a healthcare organization, we encourage you to apply.

Please submit your résumé through the Workable application portal, highlighting your relevant experience, qualifications, and skills.

We appreciate your interest in Summit Home Health & Hospice and look forward to reviewing your application.

Requirements

Qualifications and Requirements

Required Qualifications,

* High school diploma or equivalent.

* Strong attention to detail and commitment to maintaining accurate records.

* Good written and verbal communication skills.

* Basic computer proficiency, including email, internet-based applications, and data entry.

* Strong organizational skills and the ability to manage multiple assignments.

* Ability to follow established procedures and meet reasonable deadlines.

* Professional judgment when handling confidential information.

* Ability to work independently while collaborating effectively with a team.

Preferred Qualifications,

* Previous experience in insurance verification, medical billing, patient registration, healthcare administration, or revenue cycle management.

* Familiarity with health insurance terminology, eligibility verification, and benefits review.

* Experience working with Medicare, Medicaid, Medicare Advantage, commercial insurance, or managed care plans.

* Knowledge of insurance requirements applicable to home health, hospice, or post-acute care.

* Experience using electronic health records, billing platforms, or insurance payer portals.

* Familiarity with HIPAA privacy and security practices.

Benefits

Benefits & Perks,

At Summit Home Health & Hospice, we recognize that our employees are an important part of the work we do every day. We value the dedication, professionalism, and attention to detail our team members bring to supporting patients, families, and healthcare operations.

We are committed to fostering a respectful, supportive, and collaborative work environment where employees are valued for their contributions and encouraged to grow professionally.

Depending on eligibility and the applicable company benefit plans, the benefits offered for this position may include:

* Competitive Compensation: A competitive salary based on relevant experience, qualifications, and the responsibilities of the position.

* Health Insurance Benefits: Medical, dental, and vision coverage options for eligible employees, subject to the terms of the applicable benefit plans.

* Retirement Savings Plan: Access to a company-sponsored retirement savings plan, such as a 401(k), if offered and applicable to the position.

* Paid Time Off: Paid leave in accordance with company policy to support personal needs, vacation, and time away from work.

* Paid Holidays: Eligibility for paid holidays in accordance with the company’s holiday schedule and employment policies.

* Professional Development & Training: Opportunities to strengthen healthcare administration, insurance verification, and revenue cycle management skills through relevant training and professional development.

* Career Growth Opportunities: Opportunities to develop professionally and take on additional responsibilities as experience, performance, and organizational needs allow.

* Collaborative Work Environment: The opportunity to work with a team that values communication, mutual respect, accuracy, and accountability.

* Employee Support Resources: Access to applicable employee assistance or wellness resources, if offered under the company’s benefits program.

Our Commitment to Employees

We understand the importance of a workplace where employees feel respected, supported, and equipped to perform their responsibilities effectively. Summit Home Health & Hospice strives to maintain an environment that encourages teamwork, professional integrity, continuous learning, and a shared commitment to quality patient care.

Specific benefits, eligibility requirements, coverage, and employer contributions are governed by the company’s official benefit plans and employment policies. The availability of individual benefits may vary based on employment status and applicable eligibility requirements.